Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00284 | Date 22/10/2019 |
| Token No | SM/19-20/607 08/11/2019 | Serial | 007 |
| Patient Name | Mrs. RINA CHATTERJEE | Contact No | 8697613628 |
| Address | 24A/2 CHAKLAPARA PRABASHNAGAR | Age | 70 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||