Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01487 | Date 27/04/2020 |
| Token No | SM/19-20/4003 30/04/2020 | Serial | 012 |
| Patient Name | Mrs. SHOYATA PAL | Contact No | 6291569303 |
| Address | 102 NEW MAHESH PRABASHNAGAR SERAMPORE 712203 | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||