Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02223 | Date 14/07/2022 |
| Token No | SM/22-23/1315 14/07/2022 | Serial | 015 |
| Patient Name | Mr. SONU KUMAR | Contact No | 7207560486 |
| Address | DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712203 | Age | 15 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||