Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00758 | Date 18/01/2020 |
| Token No | SM/19-20/1653 18/01/2020 | Serial | 003 |
| Patient Name | Mrs. MANJU SAHA | Contact No | |
| Address | F D ROAD SERAMPORE | Age | 61 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||