Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00935 | Date 12/02/2020 |
| Token No | SM/19-20/2188 12/02/2020 | Serial | 024 |
| Patient Name | Mrs. ARATI GOSWAMI | Contact No | 7044355013 |
| Address | 13 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||