Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03159 | Date 01/10/2019 |
| Token No | SM/18-19/6846 01/10/2019 | Serial | 036 |
| Patient Name | Mrs. MINATI DAS | Contact No | 9432819935 |
| Address | 2 GOPAL GANGULY | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||