Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00289 | Date 22/10/2019 |
| Token No | SM/19-20/454 22/10/2019 | Serial | 023 |
| Patient Name | Mrs. ARTI SINGH | Contact No | 7044783945 |
| Address | 97/C PRABASHNAGAR SERAMPORE 712249 | Age | 34 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||