Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00450 | Date 25/11/2019 |
| Token No | SM/19-20/837 25/11/2019 | Serial | 023 |
| Patient Name | Mrs. KALO ROY | Contact No | 7980734174 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | 88 / min | Height | cm |
| Diagnosis | |||