Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01556 | Date 04/05/2020 |
| Token No | SM/19-20/4065 04/05/2020 | Serial | 012 |
| Patient Name | Mrs. BIJALI DUTTA | Contact No | 8622846461 |
| Address | 65/25/19/C PRABASHNAGAR SERAMPORE 712249 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||