Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00730 | Date 14/01/2020 |
| Token No | SM/19-20/1704 21/01/2020 | Serial | 016 |
| Patient Name | Mrs. RENU SHAW | Contact No | 7439339080 |
| Address | 65/B PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||