Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09425 | Date 11/06/2025 |
| Token No | SM/25-26/3294 11/06/2025 | Serial | 011 |
| Patient Name | Baby NAINA KUMARI | Contact No | 9875464370 |
| Address | 97/R PRABASHNAGAR SERAMPORE 712249 | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||