Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 00987 | Date 17/02/2020 |
| Token No | SM/19-20/3277 19/03/2020 | Serial | 035 |
| Patient Name | Mrs. GYATRI SHAW | Contact No | 8582894587 |
| Address | 11/A 3/A BANGALAXMI SERAMPORE | Age | 55 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||