Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06801 | Date 16/05/2024 |
| Token No | SM/24-25/22014 16/05/2024 | Serial | 045 |
| Patient Name | Mr. KANAI BHUIYA | Contact No | 6291494838 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||