Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00879 | Date 07/02/2020 |
| Token No | SM/19-20/2042 07/02/2020 | Serial | 007 |
| Patient Name | Mrs. NITU SHARMA | Contact No | 7890284127 |
| Address | 34B/11 B B GHOSH ROAD SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||