Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00732 | Date 14/01/2020 |
| Token No | SM/19-20/1591 15/01/2020 | Serial | 004 |
| Patient Name | Mrs. SONY DEVI | Contact No | 9051020990 |
| Address | PROVASNAGER SERAMPORE 712249 | Age | 32 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||