Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00118 | Date 13/09/2019 |
| Token No | SM/19-20/480 25/10/2019 | Serial | 011 |
| Patient Name | Mrs. RINKU BHATTACHARYA | Contact No | 6289094208 |
| Address | 30F TARAPUKUR LANE,SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||