Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10216 | Date 22/11/2025 |
| Token No | SM/25-26/10876 22/11/2025 | Serial | 091 |
| Patient Name | Baby RIYANSHI KUMARI | Contact No | 9304453697 |
| Address | 65/7/3 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||