Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00153 | Date 16/09/2019 |
| Token No | SM/19-20/1672 20/01/2020 | Serial | 003 |
| Patient Name | Mrs. RUMA SENGUPTA | Contact No | 9874317663 |
| Address | C/129/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||