Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08452 | Date 26/12/2024 |
| Token No | SM/24-25/33215 26/12/2024 | Serial | 009 |
| Patient Name | Mr. SURJ KUMAR BHASHKAR | Contact No | 6354639018 |
| Address | 40 NEW MAHESH SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||