Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01423 | Date 15/04/2020 |
| Token No | SM/19-20/3783 15/04/2020 | Serial | 010 |
| Patient Name | Mr. ARUN SINGH | Contact No | 8337074423 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||