Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00699 | Date 09/01/2020 |
| Token No | SM/19-20/1483 09/01/2020 | Serial | 012 |
| Patient Name | Mrs. PINKI BISWAS BAG | Contact No | 6290680766 |
| Address | 152/1 N C SARANI BAIDYABATI M HOOGHLY 712222 | Age | 36 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||