Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01287 | Date 25/03/2020 |
| Token No | SM/19-20/3435 25/03/2020 | Serial | 041 |
| Patient Name | Mrs. SOMA MUKHERJEE | Contact No | |
| Address | TARA PUKUR QUATER SERAMPORE | Age | 32 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||