Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05171 | Date 19/09/2023 |
| Token No | SM/22-23/13237 19/09/2023 | Serial | 002 |
| Patient Name | Mr. HIRALAL SHAW | Contact No | 7890826134 |
| Address | 10 NO RAILWAY QUARTER SERAMPORE M 712201 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||