Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09732 | Date 11/08/2025 |
| Token No | SM/25-26/6180 11/08/2025 | Serial | 045 |
| Patient Name | Baby MAHIRA KHATOON | Contact No | 8777276942 |
| Address | 7 NO CHAKAPARA TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||