Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01414 | Date 13/04/2020 |
| Token No | SM/19-20/3768 13/04/2020 | Serial | 034 |
| Patient Name | Master SOUMAJEET PAL | Contact No | 8100358859 |
| Address | SATGHARA SERAMPORE | Age | 8 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||