Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01496 | Date 27/04/2020 |
| Token No | SM/19-20/3941 27/04/2020 | Serial | 023 |
| Patient Name | Mrs. SANGITA DEBI | Contact No | |
| Address | 75 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||