Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01177 | Date 14/03/2020 |
| Token No | SM/19-20/3072 14/03/2020 | Serial | 009 |
| Patient Name | Mrs. SABITRI SARKAR | Contact No | 9088432293 |
| Address | 10 NEW MAHESH SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||