Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07073 | Date 21/06/2024 |
| Token No | SM/25-26/3917 24/06/2025 | Serial | 025 |
| Patient Name | Mrs. SWETA RANI SRIVASTAV | Contact No | 7294196501 |
| Address | 68 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||