Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00702 | Date 09/01/2020 |
| Token No | SM/19-20/1486 09/01/2020 | Serial | 015 |
| Patient Name | Mrs. SMITA RUDRA CHAKRABORTY | Contact No | 9332223350 |
| Address | 43/19/A SERAMPORE PRABASHNAGAR 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||