Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00004 | Date 06/09/2019 |
| Token No | SM/19-20/4 06/09/2019 | Serial | 001 |
| Patient Name | Mrs. SHAILO DAS | Contact No | 9903249514 |
| Address | 10J HARIPARA LANE,SERAMPORE 712203 | Age | 80 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||