Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01035 | Date 20/02/2020 |
| Token No | SM/19-20/2461 20/02/2020 | Serial | 021 |
| Patient Name | Mrs. CHITRA GHOSH | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||