Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00062 | Date 09/09/2019 |
| Token No | SM/19-20/62 09/09/2019 | Serial | 019 |
| Patient Name | Mrs. MANGALA POTIHAR | Contact No | 9836563586 |
| Address | HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 43 KG |
| Pulse Rate | 84 / min | Height | 5.3 cm |
| Diagnosis | |||