Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00722 | Date 11/01/2020 |
| Token No | SM/19-20/1554 11/01/2020 | Serial | 008 |
| Patient Name | Mrs. SUNITA BHUIYA | Contact No | 6295944288 |
| Address | B B GHOSH ROAD SERAMPORE B BLOCK SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||