Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01440 | Date 16/04/2020 |
| Token No | SM/19-20/3819 16/04/2020 | Serial | 016 |
| Patient Name | Mrs. CHABI BHUIYAN | Contact No | |
| Address | HARIJAN BASTI SERAMPORE 712203 | Age | 44 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||