Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09798 | Date 22/08/2025 |
| Token No | SM/25-26/6744 22/08/2025 | Serial | 022 |
| Patient Name | Mrs. MAMATA MAHATO | Contact No | 9477539199 |
| Address | 23 BARAI BAGAN LANE SERAMPORE 712201 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||