Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00195 | Date 19/09/2019 |
| Token No | SM/19-20/280 21/09/2019 | Serial | 019 |
| Patient Name | Mrs. SUMITRA DEVI | Contact No | 9239173634 |
| Address | 7 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||