Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01142 | Date 07/03/2020 |
| Token No | SM/19-20/2928 07/03/2020 | Serial | 026 |
| Patient Name | Mrs. APARNA BHUIYA | Contact No | 7595883654 |
| Address | DINEN BHATTACHARYA SARANI SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||