Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09868 | Date 02/09/2025 |
| Token No | SM/25-26/7311 02/09/2025 | Serial | 026 |
| Patient Name | Mrs. CHANDA TIWARI | Contact No | 9026687229 |
| Address | 9/1/A/51 JAYSHREE POWER HOUSEPRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||