Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01275 | Date 24/03/2020 |
| Token No | SM/22-23/8351 24/04/2023 | Serial | 018 |
| Patient Name | Mrs. USHA PASWAN | Contact No | 9681874805 |
| Address | 97/N/2 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||