Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09680 | Date 31/07/2025 |
| Token No | SM/25-26/5637 31/07/2025 | Serial | 038 |
| Patient Name | Baby AAROHI RAJBHAR | Contact No | 9330057803 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||