Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10982 | Date 19/12/2023 |
| Token No | SM/22-23/13920 19/12/2023 | Serial | 012 |
| Patient Name | Mr. RAJU BHUIYA | Contact No | 9748514087 |
| Address | B B GHOSH ROAD, PRAVAS NAGAR | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||