Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00065 | Date 09/09/2019 |
| Token No | SM/19-20/1183 19/12/2019 | Serial | 007 |
| Patient Name | Mrs. ARCHANA DAS | Contact No | 9681411976 |
| Address | 10A DINEN BHATTACHARYA SARANI PRABASHNAGAR 712249 | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||