Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02900 | Date 27/08/2019 |
| Token No | SM/18-19/5922 27/08/2019 | Serial | 002 |
| Patient Name | Mrs. ARATI GOSWAMI | Contact No | 9883677075 |
| Address | 31 THAKUR DA BABU LANE | Age | 55 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||