Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00754 | Date 17/01/2020 |
| Token No | SM/19-20/1641 17/01/2020 | Serial | 040 |
| Patient Name | Baby ANANYA DAS | Contact No | 9088133736 |
| Address | CHAKLAPARA PRABASHNAGAR 712249 | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||