Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04371 | Date 24/06/2023 |
| Token No | SM/22-23/9880 24/06/2023 | Serial | 014 |
| Patient Name | Mr. KAMLESH KUMAR SHAW | Contact No | 9804763247 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||