Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04845 | Date 17/08/2023 |
| Token No | SM/22-23/15026 02/11/2023 | Serial | 048 |
| Patient Name | Mr. SANJAY MAJHI | Contact No | 8583026709 |
| Address | 195 NEW MAHESH SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||