Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00205 | Date 20/09/2019 |
| Token No | SM/19-20/251 20/09/2019 | Serial | 014 |
| Patient Name | Mrs. ROSENA BIBI | Contact No | 9163350062 |
| Address | 6 CHAKAPARA TARAPUKUR LANE,SERAMPORE | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 142/70 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||