Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00711 | Date 10/01/2020 |
| Token No | SM/19-20/1513 10/01/2020 | Serial | 007 |
| Patient Name | Master ADARSH SHARMA | Contact No | |
| Address | 6Y TARAPUKUR COLONY SERAMPORE 712203 | Age | 5 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||