Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03422 | Date 17/12/2022 |
| Token No | SM/22-23/5369 17/12/2022 | Serial | 002 |
| Patient Name | Mr. ABHIJIT SINGH | Contact No | 8017846558 |
| Address | 65/14/1/C PRABASHNAGAR SERAMPORE 712249 | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||