Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05654 | Date 14/11/2023 |
| Token No | SM/22-23/15926 29/11/2023 | Serial | 018 |
| Patient Name | Mr. GAURAV GIRI | Contact No | 8981252245 |
| Address | 165 NEW MAHESH SERAMPORE 712203 | Age | 20 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||