Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00755 | Date 17/01/2020 |
| Token No | SM/19-20/1642 17/01/2020 | Serial | 041 |
| Patient Name | Mrs. RINKI SARKAR DAS | Contact No | 6289286694 |
| Address | 97 PRABASHNAGAR SERAMPORE | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||