Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01081 | Date 26/02/2020 |
| Token No | SM/19-20/3159 17/03/2020 | Serial | 007 |
| Patient Name | Mrs. JAHIDA BIBI | Contact No | 8478960079 |
| Address | 86/A MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||