Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08859 | Date 10/03/2025 |
| Token No | SM/25-26/6412 14/08/2025 | Serial | 071 |
| Patient Name | Mrs. PRIYA YADAV | Contact No | 9062890331 |
| Address | 96/A/1/B PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||