Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04997 | Date 29/08/2023 |
| Token No | SM/22-23/12477 29/08/2023 | Serial | 012 |
| Patient Name | Mr. RAJ KUMAR DAS | Contact No | 8420005890 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||