Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01229 | Date 18/03/2020 |
| Token No | SM/19-20/3223 18/03/2020 | Serial | 025 |
| Patient Name | Mr. KRISHNA SINGH | Contact No | 9674812164 |
| Address | 97/C PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||