Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01236 | Date 19/03/2020 |
| Token No | SM/19-20/3269 19/03/2020 | Serial | 027 |
| Patient Name | Master ANSH PRASAD | Contact No | 6291871767 |
| Address | 97/Z/3 PRABASHNAGAR SERAMPORE 712249 | Age | 7 YEAR 2 MONTH Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||