Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00720 | Date 10/01/2020 |
| Token No | SM/19-20/3842 17/04/2020 | Serial | 016 |
| Patient Name | Mrs. AMRITTI DEY | Contact No | 6289514151 |
| Address | 9/433 PRABASHNAGAR SERAMPORE | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||