Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03148 | Date 16/11/2022 |
| Token No | SM/22-23/4441 16/11/2022 | Serial | 010 |
| Patient Name | Mr. SITAL DAPSI | Contact No | 8013509702 |
| Address | 65/22/8/A PRABASHNAGAR SERAMPORE 712249 | Age | 32 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||