Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01027 | Date 20/02/2020 |
| Token No | SM/19-20/3100 14/03/2020 | Serial | 037 |
| Patient Name | Mrs. GANGA MALIK | Contact No | 9143335524 |
| Address | SHRIRAMPUR GOPINAGAR TARKESHWAR HOOGHLY 712402 | Age | 37 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||