Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00575 | Date 18/12/2019 |
| Token No | SM/22-23/12591 01/09/2023 | Serial | 034 |
| Patient Name | Mr. RAJESH RAM | Contact No | 9831114586 |
| Address | 65/A/8 PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||