Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01080 | Date 26/02/2020 |
| Token No | SM/19-20/2608 26/02/2020 | Serial | 013 |
| Patient Name | Master BISHAL SHAW | Contact No | 9331070359 |
| Address | 11 NEW MAHESH SERAMPORE 712203 | Age | 2 YEAR 10 MONTH Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||