Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01702 | Date 27/05/2022 |
| Token No | SM/22-23/156 27/05/2022 | Serial | 017 |
| Patient Name | Mr. SURAJ RAI | Contact No | 6289944060 |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 16 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||