Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08751 | Date 19/02/2025 |
| Token No | SM/24-25/36867 12/03/2025 | Serial | 055 |
| Patient Name | Mrs. SWEETY TIWARI | Contact No | 7667017864 |
| Address | 97/H/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||