Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08649 | Date 31/01/2025 |
| Token No | SM/24-25/34997 31/01/2025 | Serial | 076 |
| Patient Name | Baby SUPRIYA BAG | Contact No | 6290255311 |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||