Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07675 | Date 14/08/2024 |
| Token No | SM/25-26/12606 31/12/2025 | Serial | 053 |
| Patient Name | Mr. MAHESH SINGH | Contact No | 9836249088 |
| Address | 26/F/A PRAVASHNAGAR SERAMPORE 712249 | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||