Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01102 | Date 28/02/2020 |
| Token No | SM/19-20/2675 28/02/2020 | Serial | 014 |
| Patient Name | Mrs. RANU BANIK | Contact No | 7044760105 |
| Address | D/158/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 71 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||