Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01545 | Date 01/05/2020 |
| Token No | SM/19-20/4032 01/05/2020 | Serial | 017 |
| Patient Name | Mrs. BANDANA DEY | Contact No | 8240146498 |
| Address | 30/58 TARAPUKUR COLONY SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||