Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 01069 | Date 24/02/2020 |
| Token No | SM/19-20/2556 24/02/2020 | Serial | 061 |
| Patient Name | Baby SONAMANI HAJRA | Contact No | 8967910574 |
| Address | 32 BORAL BAGAN LANE SERAMPORE | Age | 4 YEAR 6 MONTH Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||