Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01511 | Date 29/04/2020 |
| Token No | SM/19-20/3973 29/04/2020 | Serial | 007 |
| Patient Name | Mrs. MINU CHOWDHURY | Contact No | 9051186070 |
| Address | 43/14/5 PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||