Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01280 | Date 25/03/2020 |
| Token No | SM/19-20/3418 25/03/2020 | Serial | 024 |
| Patient Name | Miss RIYA KUMARI | Contact No | 6291189200 |
| Address | 26/B PRAVASHNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||