Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09350 | Date 27/05/2025 |
| Token No | SM/25-26/8029 15/09/2025 | Serial | 045 |
| Patient Name | Baby AMAIRA NAYAK | Contact No | 8777012409 |
| Address | 97/F/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 3 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||