Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10258 | Date 01/12/2025 |
| Token No | SM/25-26/11323 01/12/2025 | Serial | 051 |
| Patient Name | Baby AARADHYA SHAW | Contact No | 6291757994 |
| Address | 34/B/2/2 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||