Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02261 | Date 14/06/2019 |
| Token No | SM/18-19/4161 14/06/2019 | Serial | 019 |
| Patient Name | Mrs. REKHA DEY | Contact No | 9051551739 |
| Address | 9B DEY GHAT LANE | Age | 64 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||