Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00974 | Date 15/02/2020 |
| Token No | SM/19-20/2299 15/02/2020 | Serial | 033 |
| Patient Name | Master KARTICK KUMAR | Contact No | 7070636784 |
| Address | 92 NEW MAHESH SERAMPORE M 712203 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||