Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10065 | Date 15/10/2025 |
| Token No | SM/25-26/9175 15/10/2025 | Serial | 064 |
| Patient Name | Baby RIYANGSHI GUPTA | Contact No | 9007271910 |
| Address | 77 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||