Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01445 | Date 17/04/2020 |
| Token No | SM/19-20/3845 17/04/2020 | Serial | 019 |
| Patient Name | Mrs. NILU RANI GHOSH | Contact No | 9051755864 |
| Address | 75 MALLICKPARA SERAMPORE 712203 | Age | 53 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||