Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05501 | Date 25/10/2023 |
| Token No | SM/22-23/14704 25/10/2023 | Serial | 005 |
| Patient Name | Mr. JOTINDRA KUMAR JARIWALA | Contact No | 8240061852 |
| Address | 64/32 /B PROVASNAGAR SERAMPORE 712249 | Age | 80 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||