Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10052 | Date 11/10/2025 |
| Token No | SM/25-26/8971 11/10/2025 | Serial | 037 |
| Patient Name | Baby TANNU KUMARI | Contact No | 9163111076 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||