Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00487 | Date 02/12/2019 |
| Token No | SM/19-20/927 02/12/2019 | Serial | 003 |
| Patient Name | Mrs. DEEPA PAL | Contact No | 9062237710 |
| Address | 21 TARAPUKUR LANE SERAMPORE | Age | 26 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||