Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01890 | Date 10/06/2022 |
| Token No | SM/25-26/12235 20/12/2025 | Serial | 075 |
| Patient Name | Mrs. NEHA SINGH | Contact No | 9073547974 |
| Address | 49/0/3/1 PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||