Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 00968 | Date 15/02/2020 |
| Token No | SM/19-20/2283 15/02/2020 | Serial | 017 |
| Patient Name | Mrs. ASHA DEVI | Contact No | 9836524104 |
| Address | 33 AUDDY LANE SERAMPORE M SERAMPORE 712201 | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||