Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00597 | Date 21/12/2019 |
| Token No | SM/19-20/1228 21/12/2019 | Serial | 017 |
| Patient Name | Miss ISHANE SAHA | Contact No | 9433818647 |
| Address | 38/G B B GHOSH ROAD PRABASHNAGAR 712203 | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||