Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01118 | Date 04/03/2020 |
| Token No | SM/19-20/2777 04/03/2020 | Serial | 008 |
| Patient Name | Mrs. SHEFALI MUKHERJEE | Contact No | |
| Address | 26 SANIPARA LANE SERAMPORE 712203 | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||