Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02281 | Date 20/07/2022 |
| Token No | SM/22-23/1483 20/07/2022 | Serial | 020 |
| Patient Name | Mr. TUHIN SARKAR | Contact No | 8420886647 |
| Address | PRABASHNAGAR PASCHIMPARA SERAMPORE 712249 | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||