Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00184 | Date 17/09/2019 |
| Token No | SM/19-20/1942 03/02/2020 | Serial | 018 |
| Patient Name | Mrs. DULDULI BHATTACHARYA | Contact No | 9432010939 |
| Address | 141 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 140/100 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||