Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02304 | Date 25/07/2022 |
| Token No | SM/22-23/1560 25/07/2022 | Serial | 014 |
| Patient Name | Mr. DIPAK DAS | Contact No | 7439256354 |
| Address | SOCIETY MATH PRABASHNAGAR SERAMPORE 712249 | Age | 14 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||