Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09666 | Date 30/07/2025 |
| Token No | SM/25-26/9652 30/10/2025 | Serial | 009 |
| Patient Name | Mrs. MADHU YADAV | Contact No | 8100518086 |
| Address | 67 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||