Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02604 | Date 25/07/2019 |
| Token No | SM/18-19/5679 16/08/2019 | Serial | 047 |
| Patient Name | Miss SUSMITA DAS | Contact No | 8017954570 |
| Address | MAHESH, SERAMPORE | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||