Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00259 | Date 27/09/2019 |
| Token No | SM/19-20/352 27/09/2019 | Serial | 005 |
| Patient Name | Mrs. SABITA PANDEY | Contact No | 9831149910 |
| Address | 120 PRABASHNAGAR SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||