Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01203 | Date 16/03/2020 |
| Token No | SM/19-20/3152 16/03/2020 | Serial | 052 |
| Patient Name | Baby SAYANTIKA DAS | Contact No | 8420110973 |
| Address | B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 3 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||