Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00588 | Date 20/12/2019 |
| Token No | SM/19-20/1202 20/12/2019 | Serial | 018 |
| Patient Name | Mrs. BHARATI AICH | Contact No | 9874372697 |
| Address | 65/23 B B GHOSH ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||