Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00531 | Date 11/12/2019 |
| Token No | SM/19-20/1049 11/12/2019 | Serial | 001 |
| Patient Name | Mrs. SUMITRA DEVI | Contact No | 8981166414 |
| Address | 7 TARAPUKUR LANE SERAMPORE 712203 | Age | 64 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||