Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01056 | Date 24/02/2020 |
| Token No | SM/19-20/2532 24/02/2020 | Serial | 037 |
| Patient Name | Mrs. SHIBANI SARKAR | Contact No | 7003347422 |
| Address | 13/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||