Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02566 | Date 20/07/2019 |
| Token No | SM/18-19/5019 20/07/2019 | Serial | 029 |
| Patient Name | Mrs. SAHNAJ BEGUM | Contact No | 9088025000 |
| Address | SERAMOPRE COLLEGE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||