Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00307 | Date 25/10/2019 |
| Token No | SM/19-20/1957 03/02/2020 | Serial | 033 |
| Patient Name | Mrs. PUSPA DUTTA | Contact No | 8820053189 |
| Address | TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||