Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01046 | Date 22/02/2020 |
| Token No | SM/19-20/2492 22/02/2020 | Serial | 030 |
| Patient Name | Mrs. ARATI CHOWDHURY | Contact No | 9804885139 |
| Address | 32 NEW MAHESH SERAMPORE 712203 | Age | 73 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||