Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02875 | Date 13/10/2022 |
| Token No | SM/22-23/3400 13/10/2022 | Serial | 006 |
| Patient Name | Mr. AJAY BHUIYA | Contact No | 9163015024 |
| Address | 6 B B GHOSH ROAD SERAMPORE 712203 | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||