Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01067 | Date 24/02/2020 |
| Token No | SM/19-20/2576 25/02/2020 | Serial | 018 |
| Patient Name | Mrs. REKHA DUTTA | Contact No | 8348003744 |
| Address | 12/A TARAPUKUR LANE SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 140/100 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||