Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00846 | Date 03/02/2020 |
| Token No | SM/19-20/1937 03/02/2020 | Serial | 013 |
| Patient Name | Mrs. JHUMA RUIDAS | Contact No | 9051231949 |
| Address | 42 SANIPARA LANE SERAMPORE MALLICKPARA 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||