Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07356 | Date 03/07/2024 |
| Token No | SM/24-25/24376 03/07/2024 | Serial | 097 |
| Patient Name | Mr. RAMCHARAN KOSTA | Contact No | 8013395284 |
| Address | 71 NEW MAHESH SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||