Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00824 | Date 28/01/2020 |
| Token No | SM/19-20/2415 19/02/2020 | Serial | 005 |
| Patient Name | Master RAJDEEP SARKAR | Contact No | |
| Address | 65/20/A M J ROAD PRABASHNAGAR 712249 | Age | 4 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||