Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02233 | Date 15/07/2022 |
| Token No | SM/22-23/1351 15/07/2022 | Serial | 021 |
| Patient Name | Mr. SANTOSH KUMAR THAKUR | Contact No | 8757053389 |
| Address | PRABASHNAGAR SERAMPORE 712203 | Age | 35 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||