Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02518 | Date 22/08/2022 |
| Token No | SM/25-26/12185 20/12/2025 | Serial | 025 |
| Patient Name | Baby ANANYA KUMARI | Contact No | 7250390470 |
| Address | 13/86 B B GHOSH ROAD SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||