Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08519 | Date 08/01/2025 |
| Token No | SM/25-26/6003 07/08/2025 | Serial | 048 |
| Patient Name | Mr. MANOJ SINGH | Contact No | 9836134699 |
| Address | 152 NEW MAHESH SERAMPORE 712203 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||