Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05270 | Date 27/09/2023 |
| Token No | SM/24-25/23001 10/06/2024 | Serial | 073 |
| Patient Name | Mrs. SAPNA TIWARI | Contact No | 9875477101 |
| Address | 97/H/5 PROVASNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 108/80 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||