Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02854 | Date 08/10/2022 |
| Token No | SM/22-23/3286 08/10/2022 | Serial | 021 |
| Patient Name | Mr. SURAJ MAHATO | Contact No | 9088443245 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 19 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||