Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01515 | Date 29/04/2020 |
| Token No | SM/19-20/3978 29/04/2020 | Serial | 012 |
| Patient Name | Mrs. SUNITA SHAW | Contact No | 6291469366 |
| Address | 248 NEW MAHESH SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||