Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00970 | Date 15/02/2020 |
| Token No | SM/19-20/2288 15/02/2020 | Serial | 022 |
| Patient Name | Mrs. RANI DEBI PANDEY | Contact No | |
| Address | 159 NEW MAHESH SERAMPORE 712203 | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||