Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00494 | Date 03/12/2019 |
| Token No | SM/19-20/946 03/12/2019 | Serial | 011 |
| Patient Name | Mrs. BHAGABATI CHATTERJEE | Contact No | 6290522066 |
| Address | 131X TARAPUKUR GOVT QUARTER | Age | 86 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||