Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00321 | Date 01/11/2019 |
| Token No | SM/19-20/1293 28/12/2019 | Serial | 011 |
| Patient Name | Mrs. SANDHYA BAG | Contact No | 9874121683 |
| Address | 3/A D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||