Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04128 | Date 02/05/2023 |
| Token No | SM/24-25/24477 05/07/2024 | Serial | 027 |
| Patient Name | Mr. HARI SHANKER VERMA | Contact No | 8481053082 |
| Address | 13/36 B B GHOSH ROAD SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||