Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00692 | Date 09/01/2020 |
| Token No | SM/19-20/1473 09/01/2020 | Serial | 002 |
| Patient Name | Mrs. SWEETY NAYAK | Contact No | |
| Address | 117 TARAPUKUR GOVT QUARTER SERAMPORE | Age | 23 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||