Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03326 | Date 05/11/2019 |
| Token No | SM/18-19/7251 05/11/2019 | Serial | 003 |
| Patient Name | Mrs. KEYA BANERJEE | Contact No | 7003762421 |
| Address | CHOWDHURY PARA | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||