Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01286 | Date 25/03/2020 |
| Token No | SM/19-20/3433 25/03/2020 | Serial | 039 |
| Patient Name | Mrs. PINKI BHUIYA | Contact No | 9163481989 |
| Address | NEW MAHESH MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||