Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00703 | Date 09/01/2020 |
| Token No | SM/19-20/1487 09/01/2020 | Serial | 016 |
| Patient Name | Master ASHIS NAYEK | Contact No | 9674974019 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 5 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||