Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00675 | Date 06/01/2020 |
| Token No | SM/19-20/1426 06/01/2020 | Serial | 015 |
| Patient Name | Mr. RAHUL PRASAD | Contact No | 9088443215 |
| Address | 10B HARIPARA LANE SERAMPORE | Age | 13 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||