Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05765 | Date 30/11/2023 |
| Token No | SM/24-25/29437 14/10/2024 | Serial | 042 |
| Patient Name | Mr. AJOY HARI | Contact No | 8961635473 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||