Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04890 | Date 21/08/2023 |
| Token No | SM/22-23/12095 21/08/2023 | Serial | 031 |
| Patient Name | Mr. MOHAN SHAW | Contact No | 6290704431 |
| Address | 164 NEW MAESH SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||