Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01432 | Date 15/04/2020 |
| Token No | SM/19-20/3865 18/04/2020 | Serial | 014 |
| Patient Name | Mr. MUKESH SINGH | Contact No | 8896238514 |
| Address | 60 PRABASHNAGAR SERAMPORE 712249 | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||