Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07581 | Date 05/08/2024 |
| Token No | SM/24-25/26002 05/08/2024 | Serial | 017 |
| Patient Name | Mr. DEEP BHANDARI | Contact No | 6289092653 |
| Address | 65/25/51 MAHESH JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||