Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02730 | Date 20/09/2022 |
| Token No | SM/22-23/4375 14/11/2022 | Serial | 007 |
| Patient Name | Mr. AKASH RAJAK | Contact No | 6291598458 |
| Address | 194 NEW MAHESH SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||