Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01476 | Date 20/04/2020 |
| Token No | SM/19-20/3902 20/04/2020 | Serial | 033 |
| Patient Name | Mrs. BINA SENGUPTA | Contact No | |
| Address | SANIPARA LANE SERAMPORE 712203 | Age | 92 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||