Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00652 | Date 03/01/2020 |
| Token No | SM/19-20/1376 03/01/2020 | Serial | 016 |
| Patient Name | Mr. AJOY KUMAR NAYEK | Contact No | |
| Address | JANNAGARA ROAD SERAMPORE | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||