Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06617 | Date 24/04/2024 |
| Token No | SM/25-26/9953 05/11/2025 | Serial | 010 |
| Patient Name | Mrs. GURIYA YADAV | Contact No | 6290253985 |
| Address | 97/L GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||