Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09333 | Date 22/05/2025 |
| Token No | SM/25-26/2452 22/05/2025 | Serial | 058 |
| Patient Name | Mr. RAJ KUMAR PRASAD | Contact No | 8820704460 |
| Address | 250 NEW MAHESH SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||