Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00905 | Date 08/02/2020 |
| Token No | SM/19-20/2107 08/02/2020 | Serial | 008 |
| Patient Name | Mrs. KAMALA BIBI | Contact No | 7602445932 |
| Address | 7 TARAPUKUR LANE CHAKAPARA SERAMPORE 712203 | Age | 68 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||