Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01225 | Date 18/03/2020 |
| Token No | SM/19-20/3217 18/03/2020 | Serial | 019 |
| Patient Name | Mr. UPENDER SINGH | Contact No | |
| Address | 13 SARADA PALLY PRABASHNGAR SERAMPORE 712203 | Age | 64 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 99 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||