Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01413 | Date 13/04/2020 |
| Token No | SM/19-20/3766 13/04/2020 | Serial | 032 |
| Patient Name | Baby DIVYA ANSH | Contact No | 8240219338 |
| Address | 65/A/9 PRABASHNAGAR SERAMPORE 712249 | Age | 2 MONTH Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||