Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02524 | Date 22/08/2022 |
| Token No | SM/22-23/13658 27/09/2023 | Serial | 065 |
| Patient Name | Mr. SUMIT SHAH | Contact No | 9874915156 |
| Address | 62 NEW MAHESH SERAMPORE 712203 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||