Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00655 | Date 04/01/2020 |
| Token No | SM/19-20/2575 25/02/2020 | Serial | 017 |
| Patient Name | Mrs. KAJAL MALIK | Contact No | 7044017762 |
| Address | 2 TARAPUKUR COLONY SERAMPORE MALLICKPARA 712203 | Age | 49 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||