Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01233 | Date 19/03/2020 |
| Token No | SM/19-20/3479 28/03/2020 | Serial | 002 |
| Patient Name | Mr. RAJU GIRI | Contact No | 7890150114 |
| Address | 4 NEW MAHESH SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||