Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05743 | Date 25/11/2023 |
| Token No | SM/22-23/15902 28/11/2023 | Serial | 039 |
| Patient Name | Mr. RITESH KUMAR THAKUR | Contact No | 7980759626 |
| Address | 21 NEW MAHESH SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||