Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01002 | Date 18/02/2020 |
| Token No | SM/19-20/2378 18/02/2020 | Serial | 014 |
| Patient Name | Mrs. NEHA GIRI | Contact No | 8981252245 |
| Address | 165 NEW MAHESH SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||