Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00944 | Date 14/02/2020 |
| Token No | SM/19-20/2234 14/02/2020 | Serial | 019 |
| Patient Name | Mrs. GAURI DEY | Contact No | 8697119592 |
| Address | 9/A M J ROAD SERAMPORE PRAVASHNAGAR 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||