Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02315 | Date 20/06/2019 |
| Token No | SM/18-19/6509 17/09/2019 | Serial | 009 |
| Patient Name | Mrs. ANJALI DEY | Contact No | 9339622532 |
| Address | 92B DEY STREET | Age | 73 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||