Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00229 | Date 24/09/2019 |
| Token No | SM/19-20/364 27/09/2019 | Serial | 017 |
| Patient Name | Baby RISA DAS | Contact No | 9681931876 |
| Address | PROVASNAGER SERAMPORE | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||