Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01260 | Date 21/03/2020 |
| Token No | SM/19-20/3337 21/03/2020 | Serial | 013 |
| Patient Name | Baby PRIYA SAHA | Contact No | |
| Address | SERAMPORE | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||