Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03477 | Date 23/12/2022 |
| Token No | SM/22-23/6226 21/01/2023 | Serial | 022 |
| Patient Name | Mr. REHAN DOLUI | Contact No | 8583023473 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||