Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 01240 | Date 20/03/2020 |
| Token No | SM/19-20/3295 20/03/2020 | Serial | 013 |
| Patient Name | Mrs. CHITRA GHOSH | Contact No | 8777234101 |
| Address | 20 A.K.C BHATTACHARYA SERAMPORE | Age | 39 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||