Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04728 | Date 05/08/2023 |
| Token No | SM/24-25/20829 18/04/2024 | Serial | 031 |
| Patient Name | Mr. SUMIT SINGH | Contact No | 8274035880 |
| Address | 13 B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||