Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01374 | Date 08/04/2020 |
| Token No | SM/19-20/3691 08/04/2020 | Serial | 003 |
| Patient Name | Mrs. FARDIMA DEVI | Contact No | |
| Address | 100/B SERAMPORE 712249 | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||