Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00831 | Date 01/02/2020 |
| Token No | SM/19-20/1897 01/02/2020 | Serial | 010 |
| Patient Name | Mrs. SUVOJIT MALIK | Contact No | 7044017762 |
| Address | 2 TARAPUKUR COLONI SERAMPORE 712203 | Age | 12 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||