Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00028 | Date 07/09/2019 |
| Token No | SM/19-20/28 07/09/2019 | Serial | 006 |
| Patient Name | Mrs. PURNIMA SAMADDAR | Contact No | 7044346197 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 45 KG |
| Pulse Rate | 88 / min | Height | cm |
| Diagnosis | |||