Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01863 | Date 10/06/2022 |
| Token No | SM/22-23/2246 24/08/2022 | Serial | 018 |
| Patient Name | Mrs. NEHA PASWAN | Contact No | 9831330545 |
| Address | 9/434 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 17 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||