Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06185 | Date 05/02/2024 |
| Token No | SM/25-26/4398 05/07/2025 | Serial | 008 |
| Patient Name | Baby SONALI CHATTERJEE | Contact No | 8617224392 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||