Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00271 | Date 30/09/2019 |
| Token No | SM/19-20/1596 15/01/2020 | Serial | 009 |
| Patient Name | Mrs. CHAYA MONDAL | Contact No | 9007019783 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||