Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03206 | Date 19/11/2022 |
| Token No | SM/24-25/35203 06/02/2025 | Serial | 012 |
| Patient Name | Baby MOLLY DIKSHIT | Contact No | 7596824473 |
| Address | 32 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||