Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01556 | Date 08/01/2019 |
| Token No | SM/18-19/2233 08/01/2019 | Serial | 014 |
| Patient Name | Mrs. SWAPNA BASU | Contact No | |
| Address | MAHESH | Age | 62 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||