Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01300 | Date 27/03/2020 |
| Token No | SM/19-20/4047 02/05/2020 | Serial | 013 |
| Patient Name | Mr. HIRALAL SINGH | Contact No | 9748263061 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712203 | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||