Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01499 | Date 27/04/2020 |
| Token No | SM/19-20/3947 27/04/2020 | Serial | 029 |
| Patient Name | Baby PRAPTI DEY | Contact No | 9883262196 |
| Address | 43/24/2 PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 3 MONTH Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||