Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02902 | Date 27/08/2019 |
| Token No | SM/18-19/5928 27/08/2019 | Serial | 008 |
| Patient Name | Miss MOULI TARAFDAR | Contact No | 9434622543 |
| Address | SERAMPORE COLLEGE | Age | 18 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||