Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00037 | Date 07/09/2019 |
| Token No | SM/19-20/1205 20/12/2019 | Serial | 021 |
| Patient Name | Mrs. PURNIMA SAHA | Contact No | 9804816689 |
| Address | 24 ER PALLY PRABASHNAGAR SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||