Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01284 | Date 25/03/2020 |
| Token No | SM/19-20/3431 25/03/2020 | Serial | 037 |
| Patient Name | Mrs. TUMPA PASWAN | Contact No | 8420235711 |
| Address | 50/D/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||