Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02438 | Date 08/07/2019 |
| Token No | SM/18-19/4793 16/07/2019 | Serial | 009 |
| Patient Name | Mrs. MOHUA MUKHERJEE | Contact No | 7278175732 |
| Address | 37 PANCHANAN TALA LANE | Age | 46 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||