Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03914 | Date 11/03/2023 |
| Token No | SM/22-23/7461 11/03/2023 | Serial | 023 |
| Patient Name | Mr. SAMIR THAKUR | Contact No | 7439247791 |
| Address | 65/25/52 M J ROAD SERAMPORE 712249 | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||