Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01386 | Date 09/04/2020 |
| Token No | SM/19-20/3794 15/04/2020 | Serial | 021 |
| Patient Name | Mrs. TRIYASHA ROY | Contact No | 8420789479 |
| Address | 89 PRABASHNAGAR SERAMPORE 712249 | Age | 15 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||