Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01455 | Date 18/04/2020 |
| Token No | SM/19-20/3861 18/04/2020 | Serial | 010 |
| Patient Name | Mrs. KRISHNA SARKAR | Contact No | 7890995562 |
| Address | 65/25/2 PRABASHNAGAR SERAMPORE 712249 | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||