Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00010 | Date 06/09/2019 |
| Token No | SM/19-20/1099 13/12/2019 | Serial | 025 |
| Patient Name | Mrs. NAMITA DUTTA | Contact No | 8900325322 |
| Address | ICHHAPUR GOPINAGAR HOOGHLY 712402 | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||