Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00944 | Date 24/09/2018 |
| Token No | SM/18-19/1225 24/09/2018 | Serial | 004 |
| Patient Name | Mrs. RENUKA DAS | Contact No | 8965854784 |
| Address | VHATTERJEE LANE | Age | 64 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||