Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04087 | Date 25/04/2023 |
| Token No | SM/22-23/8384 25/04/2023 | Serial | 010 |
| Patient Name | Mr. GULAB KUMHAR | Contact No | 9331072062 |
| Address | 36 NEW MAHESH SERAMPORE 712203 | Age | 83 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||