Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00809 | Date 27/01/2020 |
| Token No | SM/19-20/1927 03/02/2020 | Serial | 003 |
| Patient Name | Mrs. SAHERA BIBI | Contact No | 9163262648 |
| Address | 33 MIYAJAN DARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||