Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00389 | Date 16/11/2019 |
| Token No | SM/19-20/702 16/11/2019 | Serial | 002 |
| Patient Name | Mrs. SABITA GHOSH | Contact No | 9339327298 |
| Address | 56/A/1 MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||