Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02873 | Date 13/10/2022 |
| Token No | SM/22-23/3398 13/10/2022 | Serial | 004 |
| Patient Name | Mr. KARUN BHUIYA | Contact No | 9330603860 |
| Address | HARIJAN QUARTER SERAMPORE 712203 | Age | 16 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||