Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02169 | Date 06/07/2022 |
| Token No | SM/22-23/1162 06/07/2022 | Serial | 053 |
| Patient Name | Mr. MITHUN MONDAL | Contact No | 9163896293 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 25 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||