Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01504 | Date 28/04/2020 |
| Token No | SM/19-20/3963 28/04/2020 | Serial | 013 |
| Patient Name | Mrs. KAJAL ROY | Contact No | 8597663484 |
| Address | 47 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||