Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00927 | Date 12/02/2020 |
| Token No | SM/19-20/2174 12/02/2020 | Serial | 010 |
| Patient Name | Mrs. SRIPARNA RUIDAS | Contact No | 9051231949 |
| Address | 42 SANIPARA LANE SERAMPORE 712203 | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||