Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04984 | Date 28/08/2023 |
| Token No | SM/22-23/16628 18/12/2023 | Serial | 021 |
| Patient Name | Mr. DEVANAND MAHATO | Contact No | 9681192115 |
| Address | 80 NEW MAHESH SERAMPORE 712203 | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||