Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06874 | Date 28/05/2024 |
| Token No | SM/25-26/7727 10/09/2025 | Serial | 046 |
| Patient Name | Baby AROHI GUPTA | Contact No | 8515010024 |
| Address | 73 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||