Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02836 | Date 30/09/2022 |
| Token No | SM/22-23/3227 30/09/2022 | Serial | 044 |
| Patient Name | Mr. POCHA RASUA | Contact No | 6290908807 |
| Address | HARIJAN BASTI SERAMPORE 712203 | Age | 28 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||