Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12572 | Date 25/01/2025 |
| Token No | SM/24-25/20690 25/01/2025 | Serial | 010 |
| Patient Name | Baby AGOMONI MUKHERJEE | Contact No | 7439675700 |
| Address | 1 CHAKRABORTY GOSWAMI PARA LANE | Age | 9 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||