Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03023 | Date 02/11/2022 |
| Token No | SM/22-23/5146 09/12/2022 | Serial | 029 |
| Patient Name | Mr. UTTAM PASWAN | Contact No | 6291795385 |
| Address | 30/3 NEW MAHESH SERAMPORE 712203 | Age | 43 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||