Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00836 | Date 01/02/2020 |
| Token No | SM/19-20/1906 01/02/2020 | Serial | 019 |
| Patient Name | Mrs. AMITA PANDEY | Contact No | 9681884240 |
| Address | 43/20/D PRABASHNAGAR SERAMPORE 712249 | Age | 39 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||