Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01465 | Date 20/04/2020 |
| Token No | SM/19-20/4002 30/04/2020 | Serial | 011 |
| Patient Name | Mrs. KALYANI DAS | Contact No | 9163819207 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||