Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01105 | Date 28/02/2020 |
| Token No | SM/19-20/2679 28/02/2020 | Serial | 018 |
| Patient Name | Mrs. JOSHNA DHAR | Contact No | 9088519440 |
| Address | 13/63 B B GHOSH ROAD SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||