Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06928 | Date 04/06/2024 |
| Token No | SM/25-26/6109 09/08/2025 | Serial | 009 |
| Patient Name | Mrs. SALU TIWARI | Contact No | 7003298397 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||