Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00508 | Date 05/12/2019 |
| Token No | SM/19-20/976 05/12/2019 | Serial | 003 |
| Patient Name | Mrs. BABITA SAMADDAR | Contact No | 9874447208 |
| Address | 72A/6 PRABASNAGAR SERAMPORE | Age | 29 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||