Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 03995 | Date 30/03/2023 |
| Token No | SM/22-23/7887 30/03/2023 | Serial | 002 |
| Patient Name | Mr. SHRAVAN KUMAR SHAW | Contact No | 9748148451 |
| Address | 15 KAPURIA PATTY LANE SERAMPORE 712203 | Age | 49 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||