Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02586 | Date 23/07/2019 |
| Token No | SM/18-19/5062 23/07/2019 | Serial | 029 |
| Patient Name | Mrs. BABY MALIK,., | Contact No | 9748022665 |
| Address | ANNADA BABU GARDEN LANE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||