Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02556 | Date 16/07/2019 |
| Token No | SM/18-19/4989 16/07/2019 | Serial | 001 |
| Patient Name | Mrs. MIRA PAL | Contact No | NOT GIVEN |
| Address | SERAMPORE | Age | 39 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||