Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05567 | Date 03/11/2023 |
| Token No | SM/22-23/15068 03/11/2023 | Serial | 027 |
| Patient Name | Mr. KARTICK KUMAR MAJHI | Contact No | 8105461791 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||