Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07924 | Date 20/09/2024 |
| Token No | SM/25-26/11669 08/12/2025 | Serial | 041 |
| Patient Name | Baby SOUMI CHAKRABORTY | Contact No | 8697005952 |
| Address | 65/22/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||