Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 02103 | Date 30/06/2022 |
| Token No | SM/22-23/996 30/06/2022 | Serial | 010 |
| Patient Name | Mr. TARUN NAYAK | Contact No | 8584065700 |
| Address | J N LAHIRI ROAD SERAMPORE 712201 | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||