Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01695 | Date 27/05/2022 |
| Token No | SM/25-26/9783 01/11/2025 | Serial | 008 |
| Patient Name | Mr. SURAJ PANDEY | Contact No | 8013301538 |
| Address | 182 NEW MAHESH SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||