Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05054 | Date 04/09/2023 |
| Token No | SM/25-26/3433 12/06/2025 | Serial | 051 |
| Patient Name | Baby AROHI MAHATO | Contact No | 9674182091 |
| Address | 10/A/2 PRABASHNAGAR SERAMPORE 712249 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||