Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01296 | Date 27/03/2020 |
| Token No | SM/19-20/3836 17/04/2020 | Serial | 010 |
| Patient Name | Mrs. JHARNA SADHUKHAN | Contact No | 7439416654 |
| Address | 41B TARA PUKUR LANE SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||