Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01010 | Date 18/02/2020 |
| Token No | SM/19-20/2905 07/03/2020 | Serial | 003 |
| Patient Name | Mrs. TANIA KHATUN | Contact No | 9088072519 |
| Address | 7 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 13 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||