Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01173 | Date 14/03/2020 |
| Token No | SM/19-20/3067 14/03/2020 | Serial | 004 |
| Patient Name | Mrs. JYOTSNA DAS | Contact No | 8921686715 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||