Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01415 | Date 13/04/2020 |
| Token No | SM/19-20/3769 13/04/2020 | Serial | 035 |
| Patient Name | Miss SUVASHRI PAUL | Contact No | 9883981800 |
| Address | GHOSHPARA DAKSHIN RAJYADHARPUR MALLICKPARA SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||