Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00535 | Date 11/12/2019 |
| Token No | SM/19-20/1055 11/12/2019 | Serial | 007 |
| Patient Name | Mr. ANKIT KUMAR SINGH | Contact No | 9088553817 |
| Address | 13/39 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||