Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03662 | Date 28/01/2023 |
| Token No | SM/22-23/6333 28/01/2023 | Serial | 039 |
| Patient Name | Mr. RAJESH SAMADDAR | Contact No | 8777384561 |
| Address | 65/14/1B MAHESH JANNAGAR ROAD PRABASGNAGAR | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||