Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00902 | Date 07/02/2020 |
| Token No | SM/19-20/2093 07/02/2020 | Serial | 058 |
| Patient Name | Mrs. SWAPNA CHAKRABORTY | Contact No | |
| Address | PRABASHNAGAR SERAMPORE | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||