Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00101 | Date 13/09/2019 |
| Token No | SM/19-20/109 13/09/2019 | Serial | 008 |
| Patient Name | Master ARNAB MONDAL | Contact No | 7278070551 |
| Address | 65/25/10C PRABASHNAGAR,SERAMPORE | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||