Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00305 | Date 25/10/2019 |
| Token No | SM/19-20/633 14/11/2019 | Serial | 006 |
| Patient Name | Mrs. JOY PRAKARI SHARMA | Contact No | 9674974031 |
| Address | 100 NEW MAHESH KATAPOL SERAMPORE | Age | 60 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||