Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02863 | Date 12/10/2022 |
| Token No | SM/22-23/3357 12/10/2022 | Serial | 008 |
| Patient Name | Mr. DURGA BHUIYA | Contact No | |
| Address | HARIJAN BASTI SERAMPORE 712203 | Age | 45 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||