Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00046 | Date 09/09/2019 |
| Token No | SM/19-20/229 17/09/2019 | Serial | 038 |
| Patient Name | Mrs. LAXMI DAS | Contact No | 9836563586 |
| Address | 20 BAZAR BYE LANE SERAMPORE 712201 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||