Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00743 | Date 17/01/2020 |
| Token No | SM/19-20/1609 17/01/2020 | Serial | 008 |
| Patient Name | Mrs. ISHRAWATI DEVI | Contact No | |
| Address | PROVASNAGER SERAMPORE | Age | 50 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||