Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01285 | Date 16/11/2018 |
| Token No | SM/18-19/1774 16/11/2018 | Serial | 007 |
| Patient Name | Mrs. ARATI KUNDU | Contact No | 9062191627 |
| Address | 37B A.K.C BHATTACHARYA ST | Age | 68 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||