Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02298 | Date 18/06/2019 |
| Token No | SM/18-19/4372 24/06/2019 | Serial | 002 |
| Patient Name | Mrs. RUPALI KUNDU | Contact No | NOT GIVEN |
| Address | SERAMPORE COLLEGE | Age | 55 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||