Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00049 | Date 09/09/2019 |
| Token No | SM/19-20/1160 17/12/2019 | Serial | 029 |
| Patient Name | Mrs. MAUSUMI DEY | Contact No | 6290457984 |
| Address | 65/15 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||