Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00922 | Date 10/02/2020 |
| Token No | SM/19-20/3879 20/04/2020 | Serial | 010 |
| Patient Name | Mr. RIDDHI SAHA | Contact No | 9748949037 |
| Address | 16/H PRAVASHNAGAR SERAMPORE 712249 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||