Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03120 | Date 11/11/2022 |
| Token No | SM/22-23/4321 11/11/2022 | Serial | 034 |
| Patient Name | Mr. PINTU PANDEY | Contact No | 9831467620 |
| Address | 159 NEW MAHESH MALLICKPARA SERAMPORE 712203 | Age | 49 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||