Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08720 | Date 13/02/2025 |
| Token No | SM/24-25/35594 13/02/2025 | Serial | 001 |
| Patient Name | Mr. KAMALESH JARIWALA | Contact No | 9831536058 |
| Address | 34/B/64 B B GHOSH ROAD SERAMPORE 712249 | Age | 48 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||