Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00503 | Date 04/12/2019 |
| Token No | SM/19-20/970 04/12/2019 | Serial | 003 |
| Patient Name | Mrs. SUNITA BHUIYA | Contact No | 8584965242 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||