Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00893 | Date 07/02/2020 |
| Token No | SM/19-20/3993 30/04/2020 | Serial | 002 |
| Patient Name | Mrs. MARJINA BIBI | Contact No | 6290638067 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||