Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01717 | Date 27/05/2022 |
| Token No | SM/22-23/20145 23/03/2024 | Serial | 035 |
| Patient Name | Mr. JITU BHUIYA | Contact No | 7044150586 |
| Address | 43/20/D PRABASHNAGAR SERAMPORE 712249 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||