Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01186 | Date 16/03/2020 |
| Token No | SM/19-20/3119 16/03/2020 | Serial | 019 |
| Patient Name | Mr. SANTOSH KUMAR KAHAR | Contact No | 8442963882 |
| Address | 80 PRABASHNAGAR SERAMPORE 712249 | Age | 43 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||