Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01513 | Date 29/04/2020 |
| Token No | SM/19-20/3975 29/04/2020 | Serial | 009 |
| Patient Name | Mrs. SUBHRA ROY | Contact No | 8240873542 |
| Address | 7 NO TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||