Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00761 | Date 18/01/2020 |
| Token No | SM/19-20/1660 18/01/2020 | Serial | 010 |
| Patient Name | Mrs. ANNAPURNA BISWAS | Contact No | 9231232757 |
| Address | 19 NEW MAHESH SERAMPORE HOOGHLY 712203 | Age | 66 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||