Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00918 | Date 10/02/2020 |
| Token No | SM/19-20/2148 10/02/2020 | Serial | 018 |
| Patient Name | Mrs. SUMITA BHUIYA | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||