Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01441 | Date 16/04/2020 |
| Token No | SM/19-20/3823 16/04/2020 | Serial | 020 |
| Patient Name | Mrs. SOVA DEBI | Contact No | 9239422676 |
| Address | 13/82 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||