Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01157 | Date 12/03/2020 |
| Token No | SM/19-20/2990 12/03/2020 | Serial | 006 |
| Patient Name | Mrs. GANGA RANI BANERJEE | Contact No | 9143018463 |
| Address | 65/14/1B MAHESH JANNAGAR ROAD PRABASNAGAR 712249 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||