Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01070 | Date 25/02/2020 |
| Token No | SM/19-20/2812 04/03/2020 | Serial | 043 |
| Patient Name | Mr. ABHIJIT SINGH | Contact No | 8697534651 |
| Address | 65/14/1 MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||