Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01509 | Date 29/04/2020 |
| Token No | SM/19-20/3971 29/04/2020 | Serial | 005 |
| Patient Name | Mrs. REHENA BIBI | Contact No | 9330286088 |
| Address | 5/A MALLICKPARA SERAMPORE 712203 | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||