Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00946 | Date 24/09/2018 |
| Token No | SM/18-19/1227 24/09/2018 | Serial | 006 |
| Patient Name | Baby RUMI PAL | Contact No | 8930548530 |
| Address | SERAMPORE COLLEGE | Age | 1 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||