Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 00204 | Date 20/09/2019 |
| Token No | SM/19-20/247 20/09/2019 | Serial | 010 |
| Patient Name | Mr. ANKIT KUMAR CHANDRA | Contact No | 7605826182 |
| Address | 1/B/A2 S S ROAD RISHRA M SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||