Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04064 | Date 18/04/2023 |
| Token No | SM/22-23/12978 12/09/2023 | Serial | 002 |
| Patient Name | Mr. PRASANTA PASWAN | Contact No | 6289225272 |
| Address | 172 NEW MAHESH SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||