Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01526 | Date 30/04/2020 |
| Token No | SM/19-20/4068 04/05/2020 | Serial | 015 |
| Patient Name | Mrs. LAKSHMI DEBI | Contact No | 6289625492 |
| Address | 12 NEW MAHESH SERAMPORE 712203 | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||