Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06832 | Date 23/05/2024 |
| Token No | SM/24-25/22196 23/05/2024 | Serial | 020 |
| Patient Name | Mr. SANTOSH KUMAR SHAW | Contact No | 9564973427 |
| Address | 553 NEW MAHESH SERAMPORE 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||