Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02436 | Date 11/08/2022 |
| Token No | SM/22-23/1967 11/08/2022 | Serial | 004 |
| Patient Name | Mr. RAJU RAI | Contact No | 7044133107 |
| Address | SATGHARA SERAMPORE 712203 | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||