Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09258 | Date 09/05/2025 |
| Token No | SM/25-26/1807 09/05/2025 | Serial | 034 |
| Patient Name | Baby HARIBALLABHI BEHERA | Contact No | 6370690890 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||