Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12721 | Date 03/03/2025 |
| Token No | SM/24-25/21165 03/03/2025 | Serial | 026 |
| Patient Name | Master BAIDURYA MUKHERJEE | Contact No | 6289842672 |
| Address | 3/L/1 BAHIR SERAMPORE | Age | 3 YRS 3 mnths Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||