Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00368 | Date 14/11/2019 |
| Token No | SM/22-23/1575 25/07/2022 | Serial | 029 |
| Patient Name | Mr. AMITABH KUMAR MISHRA | Contact No | 9007936366 |
| Address | 65/25/1 PRABASHNAGAR SERAMPORE 712249 | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||