Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04478 | Date 10/07/2023 |
| Token No | SM/25-26/4556 11/07/2025 | Serial | 011 |
| Patient Name | Baby KRISHNA SINGH | Contact No | 7044017187 |
| Address | 45/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||