Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00733 | Date 14/01/2020 |
| Token No | SM/19-20/2883 06/03/2020 | Serial | 031 |
| Patient Name | Mrs. KRISHNA DAS | Contact No | 7890271379 |
| Address | M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||