Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08744 | Date 15/09/2020 |
| Token No | SM/20-21/25705 15/09/2020 | Serial | 030 Last Visit: 30/07/2025 |
| Patient Name | Mrs. RANI DEVI GUPTA | Contact No | 8961340010 |
| Address | 15 KAPURIYA PATTY LANE SERAMPORE (M) | Age | 35 Years,6 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||