Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00458 | Date 26/11/2019 |
| Token No | SM/19-20/2045 07/02/2020 | Serial | 010 |
| Patient Name | Mrs. PRAMILA DEVI SHAW | Contact No | 9163960053 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 135/80 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||