Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01373 | Date 06/04/2020 |
| Token No | SM/19-20/3674 06/04/2020 | Serial | 027 |
| Patient Name | Mr. ADITYA RAJBHAR | Contact No | 8777378339 |
| Address | 82/A GURU GARDEN ROAD SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||