Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03658 | Date 02/01/2020 |
| Token No | SM/19-20/8202 02/01/2020 | Serial | 021 |
| Patient Name | Mrs. KANKANA CHATTERJEE | Contact No | NOT GIVEN |
| Address | 18 A B GARDEN LANE | Age | 58 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||