Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07070 | Date 21/06/2024 |
| Token No | SM/25-26/11478 05/12/2025 | Serial | 008 |
| Patient Name | Mrs. SURBHI KUMARI | Contact No | 7903597599 |
| Address | 97/H/7 PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||