Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06534 | Date 04/04/2024 |
| Token No | SM/25-26/1822 10/05/2025 | Serial | 003 |
| Patient Name | Mrs. SUNAINA SINGH | Contact No | 6291590935 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||