Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03636 | Date 24/01/2023 |
| Token No | SM/22-23/14505 17/10/2023 | Serial | 048 |
| Patient Name | Mr. RAKESH KUMAR RAM | Contact No | 9163514126 |
| Address | 65/A/8 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||