Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00181 | Date 17/09/2019 |
| Token No | SM/19-20/2334 17/02/2020 | Serial | 029 |
| Patient Name | Mrs. GANGARANI MUKHERJEE | Contact No | 9433569097 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 77 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||