Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01416 | Date 13/04/2020 |
| Token No | SM/19-20/3773 13/04/2020 | Serial | 039 |
| Patient Name | Mrs. SARDA DUBEY | Contact No | 8820404341 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||