Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04676 | Date 01/08/2023 |
| Token No | SM/22-23/11190 01/08/2023 | Serial | 031 |
| Patient Name | Mr. UPENDER GIRI | Contact No | 8100650887 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||