Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00309 | Date 26/10/2019 |
| Token No | SM/19-20/569 05/11/2019 | Serial | 037 |
| Patient Name | Mrs. ANITA SINGH | Contact No | 9123355824 |
| Address | TARAPUKUR QUARTER SERAMPORE | Age | 45 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||