Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08047 | Date 18/10/2024 |
| Token No | SM/25-26/456 09/04/2025 | Serial | 041 |
| Patient Name | Baby SHRISHTI SHAW | Contact No | 6289281179 |
| Address | 34B/23 B B GHOSH ROAD SUKANTA PALLY SERAMPORE HOOGHLY 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||