Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01322 | Date 31/03/2020 |
| Token No | SM/19-20/3552 31/03/2020 | Serial | 017 |
| Patient Name | Mrs. ANJALI SINGH | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||