Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08973 | Date 26/03/2025 |
| Token No | SM/24-25/37492 26/03/2025 | Serial | 070 |
| Patient Name | Baby SAVYA KOSTA | Contact No | 9681555176 |
| Address | 13/17 B B GHOSH ROAD SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||