Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03205 | Date 17/10/2019 |
| Token No | SM/19-20/8005 10/12/2019 | Serial | 024 |
| Patient Name | Mrs. MOUSUMI BISWAS | Contact No | 8582974843 |
| Address | SERAMPORE COLLEGE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||