Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02744 | Date 22/09/2022 |
| Token No | SM/22-23/2913 22/09/2022 | Serial | 002 |
| Patient Name | Mr. PINTU SHARMA | Contact No | 8100388468 |
| Address | 153 NEW MAHESH SERAMPORE 712203 | Age | 41 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||