Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08027 | Date 15/10/2024 |
| Token No | SM/24-25/29707 21/10/2024 | Serial | 014 |
| Patient Name | Mr. UPENDRA NATH DIXIT | Contact No | 7596824473 |
| Address | 32 B B GHOSH ROAD SERAMPORE 712203 | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||