Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01338 | Date 02/04/2020 |
| Token No | SM/19-20/3598 02/04/2020 | Serial | 012 |
| Patient Name | Mrs. RANU PATRA | Contact No | 9239260359 |
| Address | 97 MALLICKPARA LANE SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||