Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01519 | Date 29/04/2020 |
| Token No | SM/19-20/3983 29/04/2020 | Serial | 017 |
| Patient Name | Mrs. UMA SARKAR | Contact No | 9239892160 |
| Address | TARA PUKUR QUATER SERAMPORE | Age | 70 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||