Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01164 | Date 12/03/2020 |
| Token No | SM/19-20/3187 17/03/2020 | Serial | 035 |
| Patient Name | Mr. BANSRAJ PASWAN | Contact No | 9062538657 |
| Address | 100 NEW MAHESH SERAMPORE 712203 | Age | 40 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||