Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01431 | Date 15/04/2020 |
| Token No | SM/19-20/3802 15/04/2020 | Serial | 029 |
| Patient Name | Mrs. CHAND BELA | Contact No | |
| Address | HARIJAN BASTI SERAMPORE 712203 | Age | 12 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||