Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08632 | Date 31/01/2025 |
| Token No | SM/24-25/34925 31/01/2025 | Serial | 004 |
| Patient Name | Baby JAKRITI DAS | Contact No | 8646868400 |
| Address | 43/18/B GURUGARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||