Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08518 | Date 08/01/2025 |
| Token No | SM/25-26/9938 04/11/2025 | Serial | 036 |
| Patient Name | Mrs. LAKSHMIDEBI PASWAN | Contact No | 9836092880 |
| Address | 55 RAYLAND ROAD SERAMPORE 712201 | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||