Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08202 | Date 14/11/2024 |
| Token No | SM/24-25/31097 14/11/2024 | Serial | 009 |
| Patient Name | Mr. HARI SHAW | Contact No | 7439250996 |
| Address | 79 NEW MAHESH SERAMPORE 712203 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||