Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02443 | Date 12/08/2022 |
| Token No | SM/22-23/2124 18/08/2022 | Serial | 015 |
| Patient Name | Mr. SAMBHU SHAH | Contact No | 9062932108 |
| Address | 151 NEW MAHESH SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||