Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09905 | Date 08/09/2025 |
| Token No | SM/25-26/9725 31/10/2025 | Serial | 020 |
| Patient Name | Baby ALKA KUMARI | Contact No | 6290126445 |
| Address | 97/Z/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||