Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05517 | Date 30/10/2023 |
| Token No | SM/22-23/14935 01/11/2023 | Serial | 017 |
| Patient Name | Mr. SHAMBHUNATH SHAH | Contact No | 9883083394 |
| Address | 65/A/9 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||