Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00279 | Date 30/09/2019 |
| Token No | SM/25-26/2546 24/05/2025 | Serial | 037 |
| Patient Name | Mrs. PUNAM DEVI TIWARI | Contact No | 7044494562 |
| Address | 97/Q PRAVASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||