Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08207 | Date 15/11/2024 |
| Token No | SM/24-25/31164 15/11/2024 | Serial | 007 |
| Patient Name | Mr. BIPIN RAM | Contact No | 6290644594 |
| Address | 30/E GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||