Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09070 | Date 09/04/2025 |
| Token No | SM/25-26/4915 17/07/2025 | Serial | 092 |
| Patient Name | Mrs. KHUSBOO CHOUDHARY | Contact No | 9088770772 |
| Address | 55/A/19 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||