Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00832 | Date 01/02/2020 |
| Token No | SM/19-20/2756 02/03/2020 | Serial | 018 |
| Patient Name | Mrs. ALPANA CHATTERJEE | Contact No | 9748382915 |
| Address | 30/59 TARA PUKUR LANE SERAMPORE 712203 | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||