Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01266 | Date 23/03/2020 |
| Token No | SM/19-20/3363 23/03/2020 | Serial | 015 |
| Patient Name | Mrs. ANJU SAW | Contact No | 9523219381 |
| Address | 96/A PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||