Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01434 | Date 16/04/2020 |
| Token No | SM/19-20/3806 16/04/2020 | Serial | 003 |
| Patient Name | Mr. MANGAL SINGH | Contact No | 8420361142 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||