Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05986 | Date 02/01/2024 |
| Token No | SM/22-23/17122 02/01/2024 | Serial | 033 |
| Patient Name | Mr. PARIMAL MAJHI | Contact No | 9748121073 |
| Address | 13/14 SARADA PALLY SERAMPORE 712203 | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||