Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00537 | Date 11/12/2019 |
| Token No | SM/19-20/1419 06/01/2020 | Serial | 008 |
| Patient Name | Mrs. NAMITA SHIL | Contact No | 9143064981 |
| Address | 165/C PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||