Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01363 | Date 06/04/2020 |
| Token No | SM/19-20/3657 06/04/2020 | Serial | 010 |
| Patient Name | Miss PAYEL GIRI | Contact No | 8981252245 |
| Address | 165 NEW MAHESH SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||