Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00735 | Date 15/01/2020 |
| Token No | SM/19-20/1593 15/01/2020 | Serial | 006 |
| Patient Name | Mrs. DEBALINA RUDRA | Contact No | 6290147309 |
| Address | PROVASNAGER SERAMPORE | Age | 24 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||