Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01379 | Date 08/04/2020 |
| Token No | SM/19-20/3697 08/04/2020 | Serial | 009 |
| Patient Name | Mrs. ADITI GHARUI | Contact No | 7449452031 |
| Address | 38/C B B GHOSH ROAD SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||