Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01978 | Date 21/06/2022 |
| Token No | SM/22-23/681 21/06/2022 | Serial | 029 |
| Patient Name | Mr. ASHOKE TEWARI | Contact No | |
| Address | GHORAMARA SINGHA BARI PRABASHNAGAR SERAMPORE 712249 | Age | 48 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||