Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00527 | Date 09/12/2019 |
| Token No | SM/19-20/2746 02/03/2020 | Serial | 008 |
| Patient Name | Mrs. SUNITA KUMARI DAS | Contact No | 9088870276 |
| Address | B B GHOSH ROAD PRABASHNAGAR 712249 | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||