Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01159 | Date 12/03/2020 |
| Token No | SM/19-20/3011 12/03/2020 | Serial | 027 |
| Patient Name | Mr. PRIYANKA GIRI | Contact No | 9830158586 |
| Address | 209 NEW MAHESH SERAMPORE 712203 | Age | 17 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||