Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02710 | Date 02/08/2019 |
| Token No | SM/18-19/5373 02/08/2019 | Serial | 033 |
| Patient Name | Mrs. SUJATA PAL | Contact No | 8647849386 |
| Address | 3RCC LANE SRERAMPORE KALITALA | Age | 35 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||