Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00826 | Date 28/01/2020 |
| Token No | SM/19-20/1878 28/01/2020 | Serial | 033 |
| Patient Name | Miss SUBHASREE SIL | Contact No | 9874996269 |
| Address | 165/B PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 11 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||