Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01060 | Date 24/02/2020 |
| Token No | SM/19-20/2538 24/02/2020 | Serial | 043 |
| Patient Name | Mrs. AULIA BEGUM | Contact No | 8420480628 |
| Address | 28/B MIYAJAN DARJEE LANE SERAMPORE 712203 | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||