Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01257 | Date 21/03/2020 |
| Token No | SM/19-20/3333 21/03/2020 | Serial | 009 |
| Patient Name | Mr. AMAN SINGH | Contact No | 8442889442 |
| Address | 97/A/A PRABASHNAGAR SERAMPORE 712249 | Age | 17 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||