Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01083 | Date 26/02/2020 |
| Token No | SM/19-20/2613 26/02/2020 | Serial | 018 |
| Patient Name | Mrs. SHAILYA DEBI | Contact No | 9831164922 |
| Address | 153 NEW MAHESH SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||