Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00302 | Date 25/10/2019 |
| Token No | SM/19-20/476 25/10/2019 | Serial | 007 |
| Patient Name | Mr. ROHIT SINGH | Contact No | 8240404420 |
| Address | 97/C PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||