Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00255 | Date 25/09/2019 |
| Token No | SM/19-20/345 25/09/2019 | Serial | 021 |
| Patient Name | Mrs. BANDANA SIL | Contact No | 9674511785 |
| Address | 165 MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | 5.4 cm |
| Diagnosis | |||