Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00716 | Date 10/01/2020 |
| Token No | SM/25-26/6933 27/08/2025 | Serial | 007 |
| Patient Name | Mrs. URMILA PASWAN | Contact No | 6290816131 |
| Address | 55/J PRAVASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||