Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01185 | Date 16/03/2020 |
| Token No | SM/19-20/3118 16/03/2020 | Serial | 018 |
| Patient Name | Miss TAPASI MAJUMDAR | Contact No | 9903227305 |
| Address | 65/25/37 PRABASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||