Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07546 | Date 30/07/2024 |
| Token No | SM/25-26/9676 30/10/2025 | Serial | 033 |
| Patient Name | Mr. RAJDIP GHOSH | Contact No | 9874748639 |
| Address | 218 NABAGRAM GHOSHAL PARA BSIDYABATI M 712201 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||