Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00787 | Date 22/01/2020 |
| Token No | SM/19-20/1739 22/01/2020 | Serial | 019 |
| Patient Name | Mrs. MINA DEBI | Contact No | 6289514151 |
| Address | 43/27/A/3 PRABASHNAGAR SERAMPORE 712249 | Age | 34 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||