Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02977 | Date 22/10/2022 |
| Token No | SM/22-23/3739 22/10/2022 | Serial | 018 |
| Patient Name | Mr. RAJU SILA | Contact No | 7044965585 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 19 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||