Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00881 | Date 07/02/2020 |
| Token No | SM/19-20/2047 07/02/2020 | Serial | 012 |
| Patient Name | Mrs. ANITA PASWAN | Contact No | |
| Address | 26 BOSEPARA SERAMPORE | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||