Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06183 | Date 05/02/2024 |
| Token No | SM/24-25/33632 03/01/2025 | Serial | 035 |
| Patient Name | Miss GURIYA PASWAN | Contact No | 8334812509 |
| Address | 694 S K NAGAR RISHRA M PRABASNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||