Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09939 | Date 11/09/2025 |
| Token No | SM/25-26/7857 11/09/2025 | Serial | 064 |
| Patient Name | Baby JYOTI KUMARI | Contact No | 7450041918 |
| Address | 60 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||