Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06111 | Date 29/01/2024 |
| Token No | SM/25-26/2845 31/05/2025 | Serial | 014 |
| Patient Name | Mrs. LALITA KUMARI | Contact No | 8777539253 |
| Address | 66/D/34 SUBHASNAGAR PROVASNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 150CM cm |
| Diagnosis | |||