Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03329 | Date 05/11/2019 |
| Token No | SM/18-19/7258 05/11/2019 | Serial | 010 |
| Patient Name | Mrs. PURNIMA KUNDU | Contact No | 7278404250 |
| Address | 6c bechu dey lane | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||