Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00748 | Date 17/01/2020 |
| Token No | SM/19-20/1626 17/01/2020 | Serial | 025 |
| Patient Name | Mrs. ARCHANA KUNDU | Contact No | |
| Address | 73X TARAPUKUR GOVT QUARTER SERAMPORE 71220 3 | Age | 66 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||