Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02188 | Date 06/06/2019 |
| Token No | SM/18-19/3982 06/06/2019 | Serial | 007 |
| Patient Name | Mrs. SABITA KUNDU | Contact No | 9433641551 |
| Address | 35 KC BHATTACHARYA ST | Age | 80 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||