Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00190 | Date 17/09/2019 |
| Token No | SM/19-20/220 17/09/2019 | Serial | 029 |
| Patient Name | Mrs. JHUMA NANDY | Contact No | 7450073760 |
| Address | 76X TARAPUKUR LANE,SERAMPORE HOOGHLY 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||