Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01200 | Date 16/03/2020 |
| Token No | SM/19-20/3571 01/04/2020 | Serial | 012 |
| Patient Name | Mr. AYUSH MISHRA | Contact No | 9339603915 |
| Address | 1 HARIPARA LANE SERAMPORE 712203 | Age | 9 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||