Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01692 | Date 19/02/2019 |
| Token No | SM/18-19/2515 19/02/2019 | Serial | 016 |
| Patient Name | Mrs. RUDRA DEBI | Contact No | 8229990836 |
| Address | INDIA JUTE MILL | Age | 61 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||