Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00501 | Date 03/12/2019 |
| Token No | SM/19-20/3628 04/04/2020 | Serial | 007 |
| Patient Name | Mrs. BIBHA MAJUMDAR | Contact No | 8100713711 |
| Address | D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||