Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01275 | Date 24/03/2020 |
| Token No | SM/25-26/22670 27/10/2026 | Serial | 006 |
| Patient Name | Mrs. USHA PASWAN | Contact No | 9681874805 |
| Address | 97/N/2 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 50 Years,7 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||