Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05402 | Date 11/10/2023 |
| Token No | SM/22-23/14246 11/10/2023 | Serial | 018 |
| Patient Name | Mr. MANOJ KUMAR SHAW | Contact No | 7449977801 |
| Address | 13/A CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||