Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09752 | Date 13/08/2025 |
| Token No | SM/25-26/9160 15/10/2025 | Serial | 049 |
| Patient Name | Baby ANAYA CHOUDHARY | Contact No | 8100151241 |
| Address | 43/27/A/12 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||