Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06196 | Date 06/02/2024 |
| Token No | SM/25-26/5730 02/08/2025 | Serial | 044 |
| Patient Name | Mrs. SARITA PASWAN | Contact No | 7980531037 |
| Address | 3 D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||