Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01238 | Date 20/03/2020 |
| Token No | SM/19-20/3415 25/03/2020 | Serial | 021 |
| Patient Name | Mrs. PROTIMA ROY | Contact No | |
| Address | 6 HARI PARA LANE SERAMPORE | Age | 43 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||