Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00370 | Date 14/11/2019 |
| Token No | SM/19-20/653 14/11/2019 | Serial | 026 |
| Patient Name | Mrs. KANIKA MUKHERJEE | Contact No | 9832840892 |
| Address | 31/B B B GHOSH ROAD SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | 125/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||