Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01006 | Date 18/02/2020 |
| Token No | SM/19-20/2386 18/02/2020 | Serial | 022 |
| Patient Name | Baby SARNALI DEY | Contact No | 9143335524 |
| Address | 118 G T ROAD PRAVASHNAGAR SERAMPORE | Age | 2 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||