Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01324 | Date 01/04/2020 |
| Token No | SM/19-20/4078 04/05/2020 | Serial | 025 |
| Patient Name | Mrs. TAPASI BAG | Contact No | 9088134803 |
| Address | 30/13 TARA PUKUR LANE SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||