Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00383 | Date 15/11/2019 |
| Token No | SM/19-20/677 15/11/2019 | Serial | 013 |
| Patient Name | Mrs. PUJA PANDEY | Contact No | 9831149910 |
| Address | 120 PRABASHNAGAR SERAMPORE | Age | 23 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||