Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00805 | Date 25/01/2020 |
| Token No | SM/19-20/1806 25/01/2020 | Serial | 013 |
| Patient Name | Mrs. PURNIMA CHAKRABORTY | Contact No | |
| Address | 88 PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||