Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04437 | Date 05/07/2023 |
| Token No | SM/22-23/10206 05/07/2023 | Serial | 025 |
| Patient Name | Mr. ROHAN SHAW | Contact No | 9163774317 |
| Address | 220 NEW MAHESH SERAMPORE 712203 | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||