Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02326 | Date 27/07/2022 |
| Token No | SM/22-23/1633 27/07/2022 | Serial | 041 |
| Patient Name | Mr. KARAN HARI | Contact No | |
| Address | PRABASHNAGAR SERAMPORE | Age | 24 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||