Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01067 | Date 24/02/2020 |
| Token No | SM/19-20/2554 24/02/2020 | Serial | 059 |
| Patient Name | Mrs. REKHA DUTTA | Contact No | 8348003744 |
| Address | 12/A TARAPUKUR LANE SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||