Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10127 | Date 03/11/2025 |
| Token No | SM/25-26/9882 03/11/2025 | Serial | 055 |
| Patient Name | Baby RISHITA KUMARI SONI | Contact No | 9883585287 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||