Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10211 | Date 22/11/2025 |
| Token No | SM/25-26/10859 22/11/2025 | Serial | 074 |
| Patient Name | Baby ADRITA RAY | Contact No | 9748698271 |
| Address | 30/26 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||