Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01444 | Date 17/04/2020 |
| Token No | SM/19-20/3838 17/04/2020 | Serial | 012 |
| Patient Name | Mr. RADHESHYAM PRASAD | Contact No | |
| Address | 57J/2 PRABASHNAGAR SERAMPORE 712249 | Age | 83 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||