Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 00117 | Date 13/09/2019 |
| Token No | SM/19-20/127 13/09/2019 | Serial | 026 |
| Patient Name | Mrs. PADMA SASMOL | Contact No | 9239051507 |
| Address | 316 G T ROAD,SERAMPORE | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||