Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01547 | Date 02/05/2020 |
| Token No | SM/19-20/4042 02/05/2020 | Serial | 008 |
| Patient Name | Mrs. ANJANA GHOSH | Contact No | 9051607174 |
| Address | 8/B B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||