Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00385 | Date 15/11/2019 |
| Token No | SM/19-20/2960 11/03/2020 | Serial | 014 |
| Patient Name | Mrs. MUNNI DEBI | Contact No | 6291786027 |
| Address | 4 NEW MAHESH SERAMPORE 712203 | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||