Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01314 | Date 30/03/2020 |
| Token No | SM/19-20/3530 30/03/2020 | Serial | 023 |
| Patient Name | Mr. SUBHAS CHATU | Contact No | 8961261117 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||