Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02222 | Date 14/07/2022 |
| Token No | SM/22-23/1314 14/07/2022 | Serial | 014 |
| Patient Name | Mr. RUPESH KUMAR | Contact No | 9341343679 |
| Address | DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712203 | Age | 19 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||