Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02277 | Date 20/07/2022 |
| Token No | SM/22-23/1470 20/07/2022 | Serial | 007 |
| Patient Name | Mr. SK SURAJ | Contact No | 9163922491 |
| Address | 81 MIAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 32 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||