Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08612 | Date 28/01/2025 |
| Token No | SM/24-25/35547 11/02/2025 | Serial | 026 |
| Patient Name | Baby AMAYESHA NAYEK | Contact No | 7003169785 |
| Address | 97/F/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||