Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02908 | Date 27/08/2019 |
| Token No | SM/18-19/5947 27/08/2019 | Serial | 027 |
| Patient Name | Miss MUKKHAN KHATUN | Contact No | 8100317718 |
| Address | 21B K C BHATTACHARJEE STREET | Age | 7 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||