Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 02405 | Date 02/07/2019 |
| Token No | SM/18-19/4591 02/07/2019 | Serial | 021 |
| Patient Name | Miss PAYEL GHOSH | Contact No | 9051817727 |
| Address | 54 N N COLONY | Age | 8 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||