Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04533 | Date 18/07/2023 |
| Token No | SM/22-23/10648 18/07/2023 | Serial | 033 |
| Patient Name | Mr. RAHUL KUMAR MONDAL | Contact No | 7003143852 |
| Address | 1B D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||