Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02351 | Date 25/06/2019 |
| Token No | SM/18-19/4444 25/06/2019 | Serial | 032 |
| Patient Name | Mrs. KABITA DAS | Contact No | 9239437648 |
| Address | 109 N.S.AVENUE | Age | 66 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||