Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01550 | Date 02/05/2020 |
| Token No | SM/19-20/4045 02/05/2020 | Serial | 011 |
| Patient Name | Mr. DHIREN GUPTA | Contact No | 8820736652 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||