Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00191 | Date 17/09/2019 |
| Token No | SM/19-20/221 17/09/2019 | Serial | 030 |
| Patient Name | Mr. SHUBHAM THAKUR | Contact No | 8013356112 |
| Address | PRABASHNAGAR,SERAMPORE | Age | 11 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||