Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02826 | Date 29/09/2022 |
| Token No | SM/22-23/3179 29/09/2022 | Serial | 043 |
| Patient Name | Mr. SIKANDAR BHUIYA | Contact No | 8479048188 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||