Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01018 | Date 18/02/2020 |
| Token No | SM/19-20/2408 18/02/2020 | Serial | 044 |
| Patient Name | Mrs. REKHA DEBI | Contact No | 8240502500 |
| Address | 43/47 PRABASHNAGAR SERAMPORE 712249 | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||