Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02314 | Date 27/07/2022 |
| Token No | SM/22-23/1608 27/07/2022 | Serial | 016 |
| Patient Name | Mr. MANIK NATH | Contact No | |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 12 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||