Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01347 | Date 04/04/2020 |
| Token No | SM/19-20/3624 04/04/2020 | Serial | 003 |
| Patient Name | Mrs. MANIKA DAS | Contact No | 9339621202 |
| Address | B/110/X TARAPUKUR GOVT QUARTER 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||