Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01986 | Date 22/06/2022 |
| Token No | SM/22-23/702 22/06/2022 | Serial | 002 |
| Patient Name | Mr. MUKESH TURIYA | Contact No | 7450066802 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 34 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||