Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01986 | Date 26/04/2019 |
| Token No | SM/18-19/3418 26/04/2019 | Serial | 014 |
| Patient Name | Miss SUBHASREE BISWAS | Contact No | 8420281865 |
| Address | 77 KHETRAMOHON SHA ST | Age | 10 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||