Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08995 | Date 29/03/2025 |
| Token No | SM/25-26/12193 20/12/2025 | Serial | 033 |
| Patient Name | Mrs. KALINDI DEVI TIWARI | Contact No | 9748556033 |
| Address | 97/H/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/88 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||