Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08382 | Date 12/12/2024 |
| Token No | SM/24-25/35519 10/02/2025 | Serial | 090 |
| Patient Name | Mr. VIVEK KUMAR SHAW | Contact No | 7278449489 |
| Address | 63 NEW MAHESH SERAMPORE 712203 | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||