Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00124 | Date 13/09/2019 |
| Token No | SM/19-20/990 06/12/2019 | Serial | 011 |
| Patient Name | Mrs. REKHA SARKAR | Contact No | 9748654746 |
| Address | 65/25/2 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 73 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||