Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04148 | Date 06/05/2023 |
| Token No | SM/25-26/5980 07/08/2025 | Serial | 025 |
| Patient Name | Baby SRISTI BHUIYA | Contact No | 7044150586 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||