Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01523 | Date 29/04/2020 |
| Token No | SM/19-20/3989 29/04/2020 | Serial | 023 |
| Patient Name | Mr. PRADIP THAKUR | Contact No | 9007899416 |
| Address | 65/25/52 PRABASHNAGAR SERAMPORE 712249 | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||