Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01397 | Date 13/04/2020 |
| Token No | SM/19-20/3743 13/04/2020 | Serial | 009 |
| Patient Name | Miss SHREYA DUTTA | Contact No | 9073542256 |
| Address | 43/47 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||