Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05583 | Date 04/11/2023 |
| Token No | SM/25-26/2796 30/05/2025 | Serial | 013 |
| Patient Name | Mrs. PRIYANKA YADAV | Contact No | 8910321141 |
| Address | 43/27/A/8 PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/50 mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||