Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00301 | Date 25/10/2019 |
| Token No | SM/19-20/899 29/11/2019 | Serial | 004 |
| Patient Name | Mrs. SOVA DHAR | Contact No | 9836232204 |
| Address | 31 TARAPUKUR LANE SERAMPORE 712203 | Age | 70 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||