Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 00866 | Date 05/02/2020 |
| Token No | SM/19-20/1997 05/02/2020 | Serial | 004 |
| Patient Name | Mrs. ARATI PODDAR | Contact No | 9836903085 |
| Address | 111 J N LAHIRI ROAD SERAMPORE 712201 | Age | 43 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||