Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01489 | Date 27/04/2020 |
| Token No | SM/19-20/3923 27/04/2020 | Serial | 005 |
| Patient Name | Mrs. ANU KUMARI DEBI | Contact No | 9875427476 |
| Address | 114 NEW MAHESH SERAMPORE 712203 | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||