Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08097 | Date 24/10/2024 |
| Token No | SM/25-26/9773 31/10/2025 | Serial | 068 |
| Patient Name | Baby SANVI KUMARI GUPTA | Contact No | 7450811993 |
| Address | 68 GURU GARDEN ROAD SERAMPORE PRAVASHNAGAR 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||