Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00863 | Date 04/02/2020 |
| Token No | SM/19-20/1993 04/02/2020 | Serial | 030 |
| Patient Name | Mrs. MAMTA KUMARI | Contact No | 7439313461 |
| Address | 49/G/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||