Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00985 | Date 17/02/2020 |
| Token No | SM/19-20/2341 17/02/2020 | Serial | 036 |
| Patient Name | Mrs. SANKARI DEY | Contact No | 9073589959 |
| Address | 43/16/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||