Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00854 | Date 03/02/2020 |
| Token No | SM/19-20/1959 03/02/2020 | Serial | 035 |
| Patient Name | Master BISHAL SHAW | Contact No | |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 2 YEAR 6 MONTH Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||