Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00772 | Date 21/01/2020 |
| Token No | SM/19-20/1702 21/01/2020 | Serial | 014 |
| Patient Name | Mrs. RANJANA GHOSH | Contact No | 8017901855 |
| Address | 75/A/5 B B GHOSH ROAD SERAMPORE 712249 | Age | 56 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||