Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03314 | Date 31/10/2019 |
| Token No | SM/18-19/7214 31/10/2019 | Serial | 031 |
| Patient Name | Miss SNEHA DAS | Contact No | 6291982851 |
| Address | 79 DEY STREET | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||