Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02748 | Date 06/08/2019 |
| Token No | SM/18-19/5470 06/08/2019 | Serial | 049 |
| Patient Name | Mrs. HAJERA BIBI | Contact No | 6290119834 |
| Address | 23 A K C BHATTACHARYA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||