Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09364 | Date 29/05/2025 |
| Token No | SM/25-26/2776 29/05/2025 | Serial | 047 |
| Patient Name | Mrs. SAMBHA YADAV | Contact No | 7309025090 |
| Address | 62/B PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||