Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00367 | Date 14/11/2019 |
| Token No | SM/19-20/649 14/11/2019 | Serial | 022 |
| Patient Name | Baby ANANYA MISHRA | Contact No | 9007936366 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 6 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||