Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03627 | Date 20/01/2023 |
| Token No | SM/22-23/6195 20/01/2023 | Serial | 018 |
| Patient Name | Mr. PACHU BHUIYA | Contact No | |
| Address | HARIJAN BASTI SERAMPORE 712203 | Age | 40 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||