Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10095 | Date 24/10/2025 |
| Token No | SM/25-26/9507 24/10/2025 | Serial | 033 |
| Patient Name | Master SATYAM GIRI | Contact No | 8100650887 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||