Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13798 | Date 28/11/2025 |
| Token No | SM/25-26/2810 28/11/2025 | Serial | 007 |
| Patient Name | Baby HARSHIKA SHAW | Contact No | 9051283389 |
| Address | PACHUBAZAR SERAMPORE | Age | 3 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||