Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00341 | Date 05/11/2019 |
| Token No | SM/19-20/3500 28/03/2020 | Serial | 023 |
| Patient Name | Mr. KRISHNA SHAW | Contact No | 7890273493 |
| Address | 74 PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||