Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02448 | Date 09/07/2019 |
| Token No | SM/18-19/7450 15/11/2019 | Serial | 049 |
| Patient Name | Mrs. CHHABI DAS | Contact No | 7003050014 |
| Address | 5G CHOWDHURY PARA | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||