Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06275 | Date 13/02/2024 |
| Token No | SM/25-26/9489 24/10/2025 | Serial | 015 |
| Patient Name | Master ABIR DAS | Contact No | 7980736472 |
| Address | WEST JANNAGAR ROAD CHAKLAPARA PRABASNAGAR SERAMPORE 712249 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||