Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03587 | Date 09/01/2023 |
| Token No | SM/22-23/6023 09/01/2023 | Serial | 022 |
| Patient Name | Mr. SANJAY RAJAK | Contact No | 6291598458 |
| Address | 194 NEW MAHESH SERAMPORE 712203 | Age | 41 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||