Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03997 | Date 30/03/2023 |
| Token No | SM/22-23/7896 30/03/2023 | Serial | 011 |
| Patient Name | Mr. ROCKY RASUYA | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 25 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||