Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03027 | Date 02/11/2022 |
| Token No | SM/22-23/3966 02/11/2022 | Serial | 017 |
| Patient Name | Mr. ROSHAN SINGH | Contact No | 8013688068 |
| Address | 43/8 PRABASHNAGAR SERAMPORE 712249 | Age | 15 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||