Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01750 | Date 30/05/2022 |
| Token No | SM/22-23/13520 25/09/2023 | Serial | 033 |
| Patient Name | Mr. SURESH BHUIYA | Contact No | 9123817140 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||