Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02506 | Date 22/08/2022 |
| Token No | SM/22-23/2315 26/08/2022 | Serial | 010 |
| Patient Name | Mr. RAJAN RAJBHAR | Contact No | 9748386793 |
| Address | 117 NEW MAHESH SERAMPORE 712203 | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||