Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10117 | Date 30/10/2025 |
| Token No | SM/25-26/11469 04/12/2025 | Serial | 068 |
| Patient Name | Mrs. NEHA DUBEY | Contact No | 8670833024 |
| Address | C3/309 SUBHASNAGAR HOUSING COMPLEX SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||