Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01766 | Date 30/05/2022 |
| Token No | SM/22-23/252 30/05/2022 | Serial | 050 |
| Patient Name | Mr. PRASHUPATI DOLUI | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712203 | Age | 44 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||