Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04187 | Date 17/05/2023 |
| Token No | SM/25-26/9970 05/11/2025 | Serial | 027 |
| Patient Name | Mr. ISHAN DEY | Contact No | 7439903565 |
| Address | 55/A/12 PRABASHNAGAR SERAMPORE 712249 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||