Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02370 | Date 01/08/2022 |
| Token No | SM/22-23/1767 01/08/2022 | Serial | 047 |
| Patient Name | Mr. AJEET SINGH | Contact No | 8444896502 |
| Address | 165A/A M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 65 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||