Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 03235 | Date 19/10/2019 |
| Token No | SM/18-19/7029 19/10/2019 | Serial | 002 |
| Patient Name | Mrs. ARATI DEY | Contact No | 9432101446 |
| Address | 21A SATISH CHANDRA GHOSH | Age | 63 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||