Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06334 | Date 22/02/2024 |
| Token No | SM/25-26/2129 16/05/2025 | Serial | 022 |
| Patient Name | Mrs. SEEMA KUMARI VERMA | Contact No | 8882486653 |
| Address | 8/B/10 PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||