Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03700 | Date 02/02/2023 |
| Token No | SM/22-23/7089 28/02/2023 | Serial | 012 |
| Patient Name | Mr. RAM ASRAY SHARMA | Contact No | 8100825118 |
| Address | 180 NEW MAHESH SERAMPORE 712203 | Age | 78 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||