Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00995 | Date 17/02/2020 |
| Token No | SM/19-20/3683 06/04/2020 | Serial | 036 |
| Patient Name | Mrs. BABY DAS | Contact No | 7890744258 |
| Address | 65/25/19 WEST JANNAGAR ROAD SERAMPORE | Age | 47 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||