Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03103 | Date 10/11/2022 |
| Token No | SM/22-23/10735 20/07/2023 | Serial | 026 |
| Patient Name | Mrs. URMILA KUMARI YADAV | Contact No | 7059319118 |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||