Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03179 | Date 18/11/2022 |
| Token No | SM/22-23/4515 18/11/2022 | Serial | 008 |
| Patient Name | Mrs. ARATI YADAV | Contact No | 7439377186 |
| Address | 82/A GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||