Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03054 | Date 04/11/2022 |
| Token No | SM/25-26/480 09/04/2025 | Serial | 065 |
| Patient Name | Mr. ANIL KUMAR MAHATO | Contact No | 9330865081 |
| Address | 80 NEW MAHESH SERAMPORE 712203 | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||