Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03495 | Date 24/12/2022 |
| Token No | SM/22-23/10304 07/07/2023 | Serial | 039 |
| Patient Name | Mrs. PUNAM YADAV | Contact No | 7890122302 |
| Address | 64 PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||