Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05255 | Date 26/09/2023 |
| Token No | SM/22-23/13665 27/09/2023 | Serial | 072 |
| Patient Name | Mr. BIJAY THAKUR | Contact No | 8617767803 |
| Address | 13 B B GHOSH ROAD SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||