Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00919 | Date 10/02/2020 |
| Token No | SM/19-20/2149 10/02/2020 | Serial | 019 |
| Patient Name | Mr. GAYANTI DEVI | Contact No | 9681252847 |
| Address | 125 NEW MAHESH SERAMPORE 712203 | Age | 54 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||