Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08372 | Date 09/12/2024 |
| Token No | SM/25-26/8670 27/09/2025 | Serial | 040 |
| Patient Name | Baby SAMAYRA SINGH | Contact No | 8777858571 |
| Address | 1/B/39 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||