Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01228 | Date 18/03/2020 |
| Token No | SM/19-20/3481 28/03/2020 | Serial | 004 |
| Patient Name | Mrs. APARNA ACHARYA | Contact No | 9836985925 |
| Address | A/17/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||