Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10274 | Date 06/12/2025 |
| Token No | SM/25-26/11802 11/12/2025 | Serial | 029 |
| Patient Name | Mrs. BINDU DEVI | Contact No | 9038548971 |
| Address | 55 RAYLAND ROAD SERAMPORE 712201 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||