Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01773 | Date 30/05/2022 |
| Token No | SM/22-23/9754 21/06/2023 | Serial | 002 |
| Patient Name | Mr. ANUP SHARMA | Contact No | 8100825118 |
| Address | 180 NEW MAHESH SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 91 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||