Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02851 | Date 08/10/2022 |
| Token No | SM/22-23/3277 08/10/2022 | Serial | 012 |
| Patient Name | Mr. DEEP RASUYA | Contact No | 9875408714 |
| Address | HARIJAN BASTI SERAMPORE 712203 | Age | 17 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||