Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04824 | Date 14/08/2023 |
| Token No | SM/22-23/14940 01/11/2023 | Serial | 022 |
| Patient Name | Mrs. SIMA TIWARI | Contact No | 8240290936 |
| Address | 97/K/1 GURU GARDEN ROAD SERAMPORE PRAVASHNAGAR 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||