Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02552 | Date 25/08/2022 |
| Token No | SM/22-23/2281 25/08/2022 | Serial | 013 |
| Patient Name | Mr. KAMAL ROUTH | Contact No | 8910235701 |
| Address | 60A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 24 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||