Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01422 | Date 15/04/2020 |
| Token No | SM/19-20/3782 15/04/2020 | Serial | 009 |
| Patient Name | Miss RIYA KUMARI SINGH | Contact No | 8337074423 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||