Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09814 | Date 25/08/2025 |
| Token No | SM/25-26/6889 25/08/2025 | Serial | 123 |
| Patient Name | Baby DHRITI DAS | Contact No | 7595993785 |
| Address | 16/J PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||