Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02602 | Date 25/07/2019 |
| Token No | SM/18-19/5100 25/07/2019 | Serial | 005 |
| Patient Name | Miss RUMPA SARKAR | Contact No | 8478981317 |
| Address | NABAGRAM BHATTACHARYA GARDEN | Age | 19 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||