Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00838 | Date 01/02/2020 |
| Token No | SM/19-20/1915 01/02/2020 | Serial | 028 |
| Patient Name | Mrs. SWAGATA CHATTERJEE | Contact No | 9830866599 |
| Address | B/65/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||