Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01091 | Date 27/02/2020 |
| Token No | SM/19-20/2911 07/03/2020 | Serial | 009 |
| Patient Name | Mrs. ARTI DEVI | Contact No | 7596976679 |
| Address | GHORAMARA PURBAPARA SERAMPORE | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||