Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01501 | Date 27/04/2020 |
| Token No | SM/19-20/3949 27/04/2020 | Serial | 031 |
| Patient Name | Mr. KARAN BHUIYAN | Contact No | 9163331081 |
| Address | HARIJAN BASTI SERAMPORE 712203 | Age | 14 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||