Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01561 | Date 04/05/2020 |
| Token No | SM/19-20/4077 04/05/2020 | Serial | 024 |
| Patient Name | Mr. MAHADEB SHAW | Contact No | 9038569025 |
| Address | 228 NEW MAHESH SERAMPORE 712203 | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||