Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01508 | Date 29/04/2020 |
| Token No | SM/19-20/3969 29/04/2020 | Serial | 003 |
| Patient Name | Mrs. SIPRA RAM | Contact No | 8450806221 |
| Address | 9/437/A SERAMPORE M PRABASHNAGAR 712249 | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||