Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04522 | Date 17/07/2023 |
| Token No | SM/22-23/10603 17/07/2023 | Serial | 015 |
| Patient Name | Mr. BINOD BHARATI | Contact No | 6289118073 |
| Address | 157/A NEW MAHESH SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||