Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04458 | Date 07/07/2023 |
| Token No | SM/22-23/15106 03/11/2023 | Serial | 065 |
| Patient Name | Mrs. NISHU YADAV | Contact No | 8910321141 |
| Address | 43/27/A/8 GURU GARDEN ROAD SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||