Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00943 | Date 14/02/2020 |
| Token No | SM/19-20/2233 14/02/2020 | Serial | 018 |
| Patient Name | Mrs. PRIYANKA BANERJEE | Contact No | 9330512260 |
| Address | 65/22/3 PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||