Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01124 | Date 04/03/2020 |
| Token No | SM/19-20/2796 04/03/2020 | Serial | 027 |
| Patient Name | Mrs. PUTUL DAS | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||