Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01262 | Date 21/03/2020 |
| Token No | SM/19-20/3868 18/04/2020 | Serial | 017 |
| Patient Name | Baby SONEHATA BHOWMICK | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 1 YEAR 4 MONTH Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||