Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01258 | Date 21/03/2020 |
| Token No | SM/19-20/3334 21/03/2020 | Serial | 010 |
| Patient Name | Mr. RABI SINGH | Contact No | 6289334253 |
| Address | 97/A/A PRABASHNAGAR SERAMPORE 712249 | Age | 12 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||