Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01317 | Date 31/03/2020 |
| Token No | SM/19-20/3544 31/03/2020 | Serial | 009 |
| Patient Name | Mr. ANISH KUMAR GUPTA | Contact No | 8420288829 |
| Address | 43/46/F/1/A PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||