Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04835 | Date 16/08/2023 |
| Token No | SM/22-23/11945 17/08/2023 | Serial | 028 |
| Patient Name | Mr. VIJAY RABIDAS | Contact No | 9088870276 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||