Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00532 | Date 11/12/2019 |
| Token No | SM/19-20/1051 11/12/2019 | Serial | 003 |
| Patient Name | Mr. NANDO PASWAN | Contact No | 7070974986 |
| Address | SERAMPORE | Age | 52 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||