Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01558 | Date 04/05/2020 |
| Token No | SM/19-20/4067 04/05/2020 | Serial | 014 |
| Patient Name | Mrs. REKHA GHOSHAL | Contact No | |
| Address | JHILPAR PRABASHNAGAR SERAMPORE 712249 | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||