Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01492 | Date 27/04/2020 |
| Token No | SM/19-20/3931 27/04/2020 | Serial | 013 |
| Patient Name | Mrs. SANTOSHI PASWAN | Contact No | 9831325767 |
| Address | 30/3 NEW MAHESH SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||