Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00707 | Date 10/01/2020 |
| Token No | SM/19-20/1509 10/01/2020 | Serial | 003 |
| Patient Name | Mr. PREM SHARMA | Contact No | 9681050522 |
| Address | 89 NEW MAHESH SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||