Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00252 | Date 25/09/2019 |
| Token No | SM/22-23/4910 30/11/2022 | Serial | 045 |
| Patient Name | Mr. RAJ BHUIYA | Contact No | 8100511620 |
| Address | HARIJAN QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||