Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09687 | Date 19/07/2023 |
| Token No | SM/25-26/932 23/06/2025 | Serial | 004 |
| Patient Name | Mr. ALEX KHALKHO | Contact No | 9433788214 |
| Address | SERAMPORE COLLEGE CAMPUS | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||