Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01301 | Date 28/03/2020 |
| Token No | SM/19-20/3483 28/03/2020 | Serial | 006 |
| Patient Name | Mr. MILAN MAJHI | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||