Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02449 | Date 12/08/2022 |
| Token No | SM/22-23/2011 12/08/2022 | Serial | 033 |
| Patient Name | Mr. HARISH KUMAR BHUIYA | Contact No | 8777036094 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||