Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05566 | Date 03/11/2023 |
| Token No | SM/22-23/15062 03/11/2023 | Serial | 021 |
| Patient Name | Mr. SHIBU DULEY | Contact No | 9641603127 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||