Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 01652 | Date 12/02/2019 |
| Token No | SM/18-19/2430 12/02/2019 | Serial | 026 |
| Patient Name | Baby SREYOSHI DASGUPTA | Contact No | NOT GIVEN |
| Address | 10 DEY BAGAN LANE | Age | 5 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||