Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01121 | Date 04/03/2020 |
| Token No | SM/19-20/2785 04/03/2020 | Serial | 016 |
| Patient Name | Mrs. MUNNI DEBI | Contact No | 9088027644 |
| Address | 4 NEW MAHESH SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||