Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03174 | Date 17/11/2022 |
| Token No | SM/22-23/4501 17/11/2022 | Serial | 024 |
| Patient Name | Mr. PRAKASH BHUIYA | Contact No | 6291494838 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||