Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00447 | Date 25/11/2019 |
| Token No | SM/19-20/831 25/11/2019 | Serial | 017 |
| Patient Name | Mrs. SADHANA DAS | Contact No | 9874273911 |
| Address | 11/E DINEN BHATTACHARJEE SARANI PROVASNAGER SERAMPORE 712249 | Age | 63 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||