Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01076 | Date 26/02/2020 |
| Token No | SM/19-20/3756 13/04/2020 | Serial | 022 |
| Patient Name | Mrs. BINITA GUHA | Contact No | 9143223726 |
| Address | 27/1 TARAPUKUR GOVT COLONY SERAMPORE 712203 | Age | 62 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||