Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00890 | Date 07/02/2020 |
| Token No | SM/19-20/2065 07/02/2020 | Serial | 030 |
| Patient Name | Mr. RUPESH PASWAN | Contact No | 9570617715 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 24 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||