Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00373 | Date 14/11/2019 |
| Token No | SM/19-20/1152 17/12/2019 | Serial | 021 |
| Patient Name | Mrs. SARASWATI DEVI | Contact No | 9123094704 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||