Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10252 | Date 29/11/2025 |
| Token No | SM/25-26/11252 29/11/2025 | Serial | 092 |
| Patient Name | Baby MANVI KUMARI | Contact No | 9007556201 |
| Address | 9/1/A/30 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||