Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00155 | Date 16/09/2019 |
| Token No | SM/19-20/2160 10/02/2020 | Serial | 030 |
| Patient Name | Mrs. REBA CHATTERJEE | Contact No | 9836655140 |
| Address | 65/3/B CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||