Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03284 | Date 24/10/2019 |
| Token No | SM/18-19/7151 24/10/2019 | Serial | 011 |
| Patient Name | Mrs. SARASWATI DEY | Contact No | 7044743218 |
| Address | 72S PATUA PARA | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||