Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00160 | Date 16/09/2019 |
| Token No | SM/19-20/174 16/09/2019 | Serial | 038 |
| Patient Name | Mrs. ANJUNARA BIBI | Contact No | 6289646310 |
| Address | 23/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 112/70 mmHg | Weight | 55 KG |
| Pulse Rate | 88 / min | Height | cm |
| Diagnosis | |||