Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09522 | Date 01/07/2025 |
| Token No | SM/25-26/4860 17/07/2025 | Serial | 037 |
| Patient Name | Mrs. PUSHPA SINGH | Contact No | 9883301788 |
| Address | 9/1/A/83 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||