Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00457 | Date 25/11/2019 |
| Token No | SM/19-20/1013 07/12/2019 | Serial | 005 |
| Patient Name | Mrs. ARUNA SAHA | Contact No | 9088265326 |
| Address | 55A/16 MAHESH JANNAGAR ROAD SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||