Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01766 | Date 08/03/2019 |
| Token No | SM/18-19/2740 08/03/2019 | Serial | 018 |
| Patient Name | Mrs. REKHA DEY | Contact No | 8644034438 |
| Address | 90C/3 DEY ST | Age | 61 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||