Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01143 | Date 07/03/2020 |
| Token No | SM/19-20/2940 07/03/2020 | Serial | 038 |
| Patient Name | Mrs. ARATI KARMAKAR | Contact No | 8420537520 |
| Address | 65/25/5 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||