Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00211 | Date 21/09/2019 |
| Token No | SM/19-20/1809 25/01/2020 | Serial | 016 |
| Patient Name | Mrs. ANJALI CHATTERJEE | Contact No | 9836372751 |
| Address | 30 PRABASHNAGAR,SERAMPORE 712249 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||