Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00310 | Date 26/10/2019 |
| Token No | SM/19-20/499 26/10/2019 | Serial | 012 |
| Patient Name | Mrs. PROTIMA DEV NATH | Contact No | 9339780070 |
| Address | PROVASNAGER SERAMPORE | Age | 43 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||