Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00688 | Date 08/01/2020 |
| Token No | SM/19-20/1464 08/01/2020 | Serial | 012 |
| Patient Name | Mr. PINTU MAJHI | Contact No | 9831743012 |
| Address | 119 NATUN MAHESH MALLICKPARA SERAMPORE 712203 | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||