Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01436 | Date 16/04/2020 |
| Token No | SM/19-20/3809 16/04/2020 | Serial | 006 |
| Patient Name | Mrs. SHIBANI GHOROI | Contact No | 9874806944 |
| Address | 38/D B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 76 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||