Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01078 | Date 26/02/2020 |
| Token No | SM/19-20/2788 04/03/2020 | Serial | 019 |
| Patient Name | Mrs. RAMPATI THAKUR | Contact No | 8230876133 |
| Address | 13/29 SARADA PALLY PRABASHNAGAR SERAMPORE 712203 | Age | 73 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||