Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01395 | Date 13/04/2020 |
| Token No | SM/19-20/3741 13/04/2020 | Serial | 007 |
| Patient Name | Mrs. TANU DAS | Contact No | 9330142274 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||