Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03409 | Date 15/12/2022 |
| Token No | SM/22-23/5418 19/12/2022 | Serial | 012 |
| Patient Name | Mr. DIPAK KUMAR BHARTI | Contact No | 9836853407 |
| Address | 157/A NEW MAHESH SERAMPORE 712203 | Age | 37 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||