Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05477 | Date 19/10/2023 |
| Token No | SM/22-23/14609 19/10/2023 | Serial | 029 |
| Patient Name | Mr. RANJAN SINGH | Contact No | 8100675402 |
| Address | 21 BARAL BAGAN LANE SERAMPORE 712201 | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||