Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02232 | Date 11/06/2019 |
| Token No | SM/18-19/5678 16/08/2019 | Serial | 046 |
| Patient Name | Miss RAGINI KUMARI | Contact No | 6350490226 |
| Address | GOPAL GANGULY LANE | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||