Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02548 | Date 19/07/2019 |
| Token No | SM/18-19/4962 19/07/2019 | Serial | 003 |
| Patient Name | Mrs. ARATI PAL | Contact No | 7998312048 |
| Address | TARA PUKUR QUATER | Age | 42 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||