Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05765 | Date 30/11/2023 |
| Token No | SM/22-23/15990 30/11/2023 | Serial | 038 |
| Patient Name | Mr. AJOY HARI | Contact No | 8961635473 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||