Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00321 | Date 01/11/2019 |
| Token No | SM/19-20/1541 10/01/2020 | Serial | 035 |
| Patient Name | Mrs. SANDHYA BAG | Contact No | 9874121683 |
| Address | 3/A D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 180/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||