Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01443 | Date 16/04/2020 |
| Token No | SM/19-20/3825 16/04/2020 | Serial | 022 |
| Patient Name | Mrs. KIRAN RAJBANSHI | Contact No | 7890730749 |
| Address | 43/26 PRABASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||