Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00924 | Date 12/02/2020 |
| Token No | SM/19-20/2166 12/02/2020 | Serial | 002 |
| Patient Name | Mrs. SOMA SARKAR | Contact No | 8697823298 |
| Address | 65/19/3 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||