Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02557 | Date 25/08/2022 |
| Token No | SM/25-26/7158 30/08/2025 | Serial | 020 |
| Patient Name | Mr. RATAN SHAH | Contact No | 9681168624 |
| Address | 151 NEW MAHESH SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||