Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03994 | Date 28/03/2023 |
| Token No | SM/22-23/7873 28/03/2023 | Serial | 023 |
| Patient Name | Mr. SIKANDER KUMAR DAS | Contact No | 8444820653 |
| Address | 235 NEW MAHESH SERAMPORE 712203 | Age | 27 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||