Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01172 | Date 14/03/2020 |
| Token No | SM/19-20/3066 14/03/2020 | Serial | 003 |
| Patient Name | Mrs. SANGITA DAS | Contact No | 9007123746 |
| Address | SOCIETY MATH PRABASHNAGAR SERAMPORE 712249 | Age | 8 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||