Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00683 | Date 07/01/2020 |
| Token No | SM/19-20/2401 18/02/2020 | Serial | 037 |
| Patient Name | Mrs. SUJATA BERA | Contact No | 8481002476 |
| Address | 65/1 WEST JANNAGAR ROAD 712249 | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||