Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01712 | Date 27/05/2022 |
| Token No | SM/22-23/169 27/05/2022 | Serial | 030 |
| Patient Name | Mrs. KHUSHBOO PANDEY | Contact No | 8697304602 |
| Address | B-6 FLAT NO 305 SUBASHNAGAR SERAMPORE 712249 | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||