Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00649 | Date 03/01/2020 |
| Token No | SM/19-20/1370 03/01/2020 | Serial | 010 |
| Patient Name | Mrs. POOJA YADAV | Contact No | 8820272750 |
| Address | 92 NEW MAHESH MALLICKPARA 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||