Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05364 | Date 09/10/2023 |
| Token No | SM/22-23/14086 09/10/2023 | Serial | 006 |
| Patient Name | Mr. RAM BAORI | Contact No | 9123073650 |
| Address | HARIJAN BASTI B.B GHOSH ROAD SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||