Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01160 | Date 12/03/2020 |
| Token No | SM/19-20/3012 12/03/2020 | Serial | 028 |
| Patient Name | Mrs. ALO RANI KARMAKAR | Contact No | 7980042190 |
| Address | 1/98 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 81 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||