Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05634 | Date 09/11/2023 |
| Token No | SM/22-23/15396 09/11/2023 | Serial | 055 |
| Patient Name | Mr. PANNALAL SINGH | Contact No | 8777216802 |
| Address | 165/A/1 MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||