Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00006 | Date 06/09/2019 |
| Token No | SM/19-20/6 06/09/2019 | Serial | 003 |
| Patient Name | Mrs. JHARNA PAL | Contact No | 9088487898 |
| Address | PRABASHNAGAR,SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/100 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||