Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01438 | Date 16/04/2020 |
| Token No | SM/19-20/3816 16/04/2020 | Serial | 013 |
| Patient Name | Mrs. CHINA DEY | Contact No | 9062376542 |
| Address | D/145/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||