Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02301 | Date 25/07/2022 |
| Token No | SM/22-23/8346 24/04/2023 | Serial | 013 |
| Patient Name | Mr. GENA LAL SHAW | Contact No | 9831495920 |
| Address | 65/19/6 PROVASNAGAR SERAMPORE 712249 | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||