Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03234 | Date 24/11/2022 |
| Token No | SM/22-23/4680 24/11/2022 | Serial | 001 |
| Patient Name | Mr. LAKHINDRA NATH MAHTO | Contact No | 9088670173 |
| Address | 65/5/5/A PRABASHNAGAR SERAMPORE 712249 | Age | 56 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||