Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01537 | Date 30/04/2020 |
| Token No | SM/19-20/4013 30/04/2020 | Serial | 022 |
| Patient Name | Mr. RAJESWAR MAHATO | Contact No | 7278961168 |
| Address | 60/B PRABASHNAGAR SERAMPORE 712249 | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||