Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01753 | Date 30/05/2022 |
| Token No | SM/25-26/481 09/04/2025 | Serial | 066 |
| Patient Name | Baby PANKHURI MAHATO | Contact No | 7003314259 |
| Address | 80 NEW MAHESH SERAMPORE 712203 | Age | 7 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||