Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01066 | Date 24/02/2020 |
| Token No | SM/19-20/2703 28/02/2020 | Serial | 042 |
| Patient Name | Mrs. SANDHYA MONDAL | Contact No | 9163123863 |
| Address | B B GHOSH ROAD PRABASHNAGAR | Age | 49 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||