Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03038 | Date 03/11/2022 |
| Token No | SM/22-23/3998 03/11/2022 | Serial | 012 |
| Patient Name | Mr. AMANDEEP GUPTA | Contact No | 7980845165 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 27 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||