Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01138 | Date 07/03/2020 |
| Token No | SM/19-20/3407 25/03/2020 | Serial | 013 |
| Patient Name | Mrs. MADHABI BHAR | Contact No | 8981432467 |
| Address | 5/2 HARIPARA LANE SERAMPORE MALLICKPARA 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||