Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01233 | Date 19/03/2020 |
| Token No | SM/22-23/7177 02/03/2023 | Serial | 018 |
| Patient Name | Mr. RAJU GIRI | Contact No | 7890150114 |
| Address | 4 NEW MAHESH SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||