Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01175 | Date 14/03/2020 |
| Token No | SM/19-20/3069 14/03/2020 | Serial | 006 |
| Patient Name | Mr. AKHILESH KUMAR PANDIT | Contact No | |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||