Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03468 | Date 22/12/2022 |
| Token No | SM/22-23/5542 22/12/2022 | Serial | 011 |
| Patient Name | Mr. ARABINDA SINGH | Contact No | 8697980695 |
| Address | 13/22 B B GHOSH ROAD SERAMPORE 712203 | Age | 34 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||