Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01187 | Date 16/03/2020 |
| Token No | SM/19-20/3120 16/03/2020 | Serial | 020 |
| Patient Name | Mrs. PUSHPA DEVI | Contact No | 8442963882 |
| Address | 80 PRAVASNAGAR SERAMPORE 712249 | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||