Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00444 | Date 25/11/2019 |
| Token No | SM/19-20/827 25/11/2019 | Serial | 013 |
| Patient Name | Mrs. SUNITA SINGH | Contact No | 9163765590 |
| Address | 13/40 B B GHOSH ROAD SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||