Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01134 | Date 06/03/2020 |
| Token No | SM/19-20/3606 03/04/2020 | Serial | 006 |
| Patient Name | Mrs. KALYANI DAS | Contact No | 7890570241 |
| Address | 5/A HARIPARA LANE SERAMPORE 712203 | Age | 50 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||