Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01425 | Date 15/04/2020 |
| Token No | SM/19-20/3788 15/04/2020 | Serial | 015 |
| Patient Name | Mrs. TARA BAORI | Contact No | 8076523079 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||