Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01738 | Date 30/05/2022 |
| Token No | SM/25-26/22635 26/10/2026 | Serial | 025 |
| Patient Name | Mrs. RINKU YADAV | Contact No | 7278789889 |
| Address | 97/H/9 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 37 Years,6 Months,21 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 169/83 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||