Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01448 | Date 17/04/2020 |
| Token No | SM/19-20/3849 17/04/2020 | Serial | 023 |
| Patient Name | Mr. DILIP KUMAR SINGH | Contact No | 7890752715 |
| Address | 100/B SERAMPORE PRABASHNAGAR 712249 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||