Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04577 | Date 24/07/2023 |
| Token No | SM/22-23/10960 26/07/2023 | Serial | 004 |
| Patient Name | Mr. JOY ROY | Contact No | 8420987884 |
| Address | 105 NEW MAHESH SERAMPORE 712203 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||