Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00549 | Date 13/12/2019 |
| Token No | SM/19-20/3866 18/04/2020 | Serial | 015 |
| Patient Name | Mrs. REKHA KAR | Contact No | 9163258947 |
| Address | 152 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||