Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05036 | Date 01/09/2023 |
| Token No | SM/22-23/12614 01/09/2023 | Serial | 057 |
| Patient Name | Mr. SURAJ SHARMA | Contact No | 9062869383 |
| Address | 89 NEW MAHESH SERAMPORE 712203 | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||