Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01439 | Date 16/04/2020 |
| Token No | SM/19-20/3817 16/04/2020 | Serial | 014 |
| Patient Name | Mrs. ALPANA CHATTERJEE | Contact No | 7044613861 |
| Address | 30/59 TARAPUKUR LANE SERAMPORE 712203 | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||