Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02116 | Date 04/07/2022 |
| Token No | SM/22-23/1038 04/07/2022 | Serial | 005 |
| Patient Name | Mr. SUMIT SAHA | Contact No | 8100523211 |
| Address | 62 NEW MAHESH SERAMPORE 712203 | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||