Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 02102 | Date 30/06/2022 |
| Token No | SM/22-23/995 30/06/2022 | Serial | 009 |
| Patient Name | Mr. SURESH NAYAK | Contact No | 6289785939 |
| Address | J N LAHIRI ROAD SERAMPORE 712201 | Age | 20 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||