Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03335 | Date 07/11/2019 |
| Token No | SM/18-19/7302 07/11/2019 | Serial | 019 |
| Patient Name | Mrs. RAMA DEY | Contact No | 7003508954 |
| Address | CHOWHURY PARA SERAMPORE | Age | 48 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||