Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 01342 | Date 03/04/2020 |
| Token No | SM/19-20/3958 28/04/2020 | Serial | 008 |
| Patient Name | Mrs. BAKUL BHOWMICK | Contact No | 9831664974 |
| Address | 247 MAHESH COLONEY SERAMPORE | Age | 47 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||