Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01103 | Date 28/02/2020 |
| Token No | SM/19-20/2676 28/02/2020 | Serial | 015 |
| Patient Name | Mrs. TARA HARI | Contact No | 9804681041 |
| Address | B/75/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||