Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04379 | Date 27/06/2023 |
| Token No | SM/22-23/9947 27/06/2023 | Serial | 019 |
| Patient Name | Mr. MURARI KUMAR JHA | Contact No | 9903049697 |
| Address | 9/A/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||