Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06325 | Date 21/02/2024 |
| Token No | SM/25-26/9165 15/10/2025 | Serial | 054 |
| Patient Name | Master SHIVAM SAH | Contact No | 6291748148 |
| Address | 228 NEW MAHESH SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||