Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00724 | Date 11/01/2020 |
| Token No | SM/19-20/1558 11/01/2020 | Serial | 012 |
| Patient Name | Mrs. ARPITA YADAV | Contact No | 8777538651 |
| Address | PROVASNAGER SERAMPORE | Age | 9 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||