Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04416 | Date 03/07/2023 |
| Token No | SM/22-23/10091 03/07/2023 | Serial | 034 |
| Patient Name | Mr. ROHIT KUMAR BHAGAT | Contact No | 7980479656 |
| Address | 64 JANNAGAR ROAD SERAMPORE M 712203 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||