Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00427 | Date 23/11/2019 |
| Token No | SM/19-20/3918 25/04/2020 | Serial | 015 |
| Patient Name | Mrs. SIMA DHAR | Contact No | 7059243265 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||