Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00060 | Date 09/09/2019 |
| Token No | SM/19-20/520 01/11/2019 | Serial | 016 |
| Patient Name | Mrs. CHAYA SAMADDAR | Contact No | 8420707382 |
| Address | 70/C DINEN BHATTACHARYA SARANI PRABASHNAGAR | Age | 62 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | 130/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||