Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04351 | Date 17/06/2023 |
| Token No | SM/22-23/9682 17/06/2023 | Serial | 011 |
| Patient Name | Mr. BABLU CHATU | Contact No | 8274893446 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||