Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01154 | Date 11/03/2020 |
| Token No | SM/19-20/2978 11/03/2020 | Serial | 032 |
| Patient Name | Mrs. SUMANA DUTTA | Contact No | 9470918474 |
| Address | 43/32/B/5 PRABASHNAGAR SERAMPORE 712249 | Age | 16 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||