Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03501 | Date 29/11/2019 |
| Token No | SM/19-20/7758 29/11/2019 | Serial | 021 |
| Patient Name | Mrs. BASNTI PRADHAN | Contact No | 9830796256 |
| Address | 2 NO GOPAL GANGULY LANE | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||