Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04908 | Date 22/08/2023 |
| Token No | SM/25-26/7953 13/09/2025 | Serial | 023 |
| Patient Name | Baby NAYNA KUMARI | Contact No | 8910674574 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||