Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06932 | Date 04/06/2024 |
| Token No | SM/25-26/8649 27/09/2025 | Serial | 019 |
| Patient Name | Mrs. PRITI TIWARI | Contact No | 9147073621 |
| Address | 9/1/A/140 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||