Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00830 | Date 01/02/2020 |
| Token No | SM/19-20/1895 01/02/2020 | Serial | 008 |
| Patient Name | Mr. CHUNMUN KUMAR PASWAN | Contact No | 6289514151 |
| Address | 9/433 GURUGARDEN ROAD SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||