Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00642 | Date 02/01/2020 |
| Token No | SM/19-20/1354 02/01/2020 | Serial | 010 |
| Patient Name | Miss SWETA SATTU | Contact No | 8274893446 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||