Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01233 | Date 19/03/2020 |
| Token No | SM/25-26/22637 26/10/2026 | Serial | 027 |
| Patient Name | Mr. RAJU GIRI | Contact No | 7890150114 |
| Address | 4 NEW MAHESH SERAMPORE 712203 | Age | 40 Years,9 Months,24 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||