Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01201 | Date 16/03/2020 |
| Token No | SM/19-20/3150 16/03/2020 | Serial | 050 |
| Patient Name | Mr. MANOJ BHUIYA | Contact No | 7596867428 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||