Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00009 | Date 06/09/2019 |
| Token No | SM/19-20/9 06/09/2019 | Serial | 006 |
| Patient Name | Mrs. TINKA DAS | Contact No | 8335825429 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||