Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01024 | Date 19/02/2020 |
| Token No | SM/19-20/2423 19/02/2020 | Serial | 013 |
| Patient Name | Mrs. SHYAMALI PAL | Contact No | 6290603534 |
| Address | 36/1 JANNAGAR ROAD SERAMPORE 712202 | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||