Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01525 | Date 30/04/2020 |
| Token No | SM/19-20/3992 30/04/2020 | Serial | 001 |
| Patient Name | Mrs. FARIDA BIBI | Contact No | 9038705392 |
| Address | 89/A MADRASHA MALLICKPARA LANE SERAMPORE 712203 | Age | 36 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||