Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09955 | Date 13/09/2025 |
| Token No | SM/25-26/7969 13/09/2025 | Serial | 039 |
| Patient Name | Baby SHREYASHREE SHARMA | Contact No | 7854882845 |
| Address | 210/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||