Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00382 | Date 15/11/2019 |
| Token No | SM/19-20/675 15/11/2019 | Serial | 011 |
| Patient Name | Mrs. PARBATI KARMAKAR | Contact No | 7044136440 |
| Address | 36/C/A MAHESH JANNAGAR ROAD | Age | 59 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||