Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00827 | Date 28/01/2020 |
| Token No | SM/19-20/1880 28/01/2020 | Serial | 035 |
| Patient Name | Mrs. MILAN DAS | Contact No | |
| Address | MUCHIPARA MALLICKPARA SERAMPORE 712203 | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||