Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01911 | Date 13/06/2022 |
| Token No | SM/22-23/525 13/06/2022 | Serial | 025 |
| Patient Name | Mr. DEBASIS KHAMRUI | Contact No | |
| Address | PURABAPARA GHORAMARA SERAMPORE 712203 | Age | 33 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 94 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||