Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00176 | Date 17/09/2019 |
| Token No | SM/19-20/1612 17/01/2020 | Serial | 011 |
| Patient Name | Mrs. ANOWARA BIBI | Contact No | 6291869139 |
| Address | 85 MALLICKPARA,SERAMPORE 712203 | Age | 65 Female |
| Token For | Visit Doctor,Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||