Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00227 | Date 24/09/2019 |
| Token No | SM/19-20/1035 10/12/2019 | Serial | 001 |
| Patient Name | Mrs. BISHNUPRIYA DAS | Contact No | 8481881285 |
| Address | 238 TARA PUKUR COLONI SERAMPORE 712203 | Age | 71 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||