Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01403 | Date 13/04/2020 |
| Token No | SM/19-20/3753 13/04/2020 | Serial | 019 |
| Patient Name | Mr. RABI SINGH | Contact No | 6289676032 |
| Address | 100/B PRABASHNAGAR SERAMPORE 712249 | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||