Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00751 | Date 17/01/2020 |
| Token No | SM/19-20/1819 27/01/2020 | Serial | 003 |
| Patient Name | Mrs. PURNIMA SAHA | Contact No | 7890032936 |
| Address | 9A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||