Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00663 | Date 04/01/2020 |
| Token No | SM/19-20/1396 04/01/2020 | Serial | 018 |
| Patient Name | Mrs. ANITA MADHU | Contact No | |
| Address | SUKANTA NAGAR CHINSURAH | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||