Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01477 | Date 20/04/2020 |
| Token No | SM/19-20/3903 20/04/2020 | Serial | 034 |
| Patient Name | Mrs. ARATI GHORUI | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712203 | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||