Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00496 | Date 03/12/2019 |
| Token No | SM/19-20/950 03/12/2019 | Serial | 015 |
| Patient Name | Mrs. REKHA CHATTERJEE | Contact No | 9874603619 |
| Address | 65/3/B CHAKLAPARA SERAMPORE PRABASHNAGAR 712249 | Age | 56 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||