Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04627 | Date 26/07/2023 |
| Token No | SM/22-23/11016 26/07/2023 | Serial | 060 |
| Patient Name | Mr. RAJESH KONDAL | Contact No | 8777235076 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||