Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00942 | Date 14/02/2020 |
| Token No | SM/19-20/2229 14/02/2020 | Serial | 014 |
| Patient Name | Mrs. SUDIPA MALIK | Contact No | 913335524 |
| Address | GOPINAGAR\'9 SHIRAMPORE | Age | 21 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||