Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01230 | Date 18/03/2020 |
| Token No | SM/19-20/3689 08/04/2020 | Serial | 001 |
| Patient Name | Mrs. ARTI SINGH | Contact No | 9674812164 |
| Address | 97/C PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||