Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03472 | Date 22/12/2022 |
| Token No | SM/25-26/9174 15/10/2025 | Serial | 063 |
| Patient Name | Baby RASHMI GUPTA | Contact No | 9007271910 |
| Address | 77 PRABASHNAGAR 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 | |||