Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00669 | Date 04/01/2020 |
| Token No | SM/19-20/1405 04/01/2020 | Serial | 027 |
| Patient Name | Mr. SANDIP JHA | Contact No | 7003856876 |
| Address | RAYGHAT SERAMPORE | Age | 27 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||