Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04621 | Date 26/07/2023 |
| Token No | SM/24-25/36747 10/03/2025 | Serial | 079 |
| Patient Name | Baby ANANYA MAHATO | Contact No | 8274034586 |
| Address | 10/L HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||