Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00033 | Date 07/09/2019 |
| Token No | SM/19-20/33 07/09/2019 | Serial | 011 |
| Patient Name | Mrs. KAKULI DAS | Contact No | 8910565604 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||