Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00168 | Date 18/08/2018 |
| Token No | SM/18-19/176 18/08/2018 | Serial | 012 |
| Patient Name | Mrs. KUSUM DAS | Contact No | |
| Address | DEY BAGAN | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||