Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01100 | Date 28/02/2020 |
| Token No | SM/19-20/2673 28/02/2020 | Serial | 012 |
| Patient Name | Mrs. ABHA SINGH | Contact No | 8697534651 |
| Address | 65/14/1 MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||