Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01408 | Date 13/04/2020 |
| Token No | SM/25-26/22621 26/10/2026 | Serial | 011 |
| Patient Name | Mrs. KHUSI SINGH | Contact No | 7890498163 |
| Address | 100/B PRABASHNAGAR SERAMPORE 712249 | Age | 20 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||