Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08538 | Date 11/01/2025 |
| Token No | SM/24-25/34242 16/01/2025 | Serial | 082 |
| Patient Name | Mrs. SARITA DEVI PASWAN | Contact No | 8910354959 |
| Address | 122 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||