Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03116 | Date 11/11/2022 |
| Token No | SM/22-23/4291 11/11/2022 | Serial | 004 |
| Patient Name | Mr. RAMBABU SINGH | Contact No | 9073565411 |
| Address | PANCHU BABUR BAZAR SERAMPORE | Age | 24 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||