Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00557 | Date 14/12/2019 |
| Token No | SM/19-20/1116 14/12/2019 | Serial | 012 |
| Patient Name | Mrs. SWAPNA SARKAR | Contact No | 7890491740 |
| Address | 8/A/1/A PRABASHNAGAR SERAMPORE HOOGHLY | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||