Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03438 | Date 19/11/2019 |
| Token No | SM/18-19/7538 19/11/2019 | Serial | 035 |
| Patient Name | Mrs. MALABIKA SAHA | Contact No | 9231970488 |
| Address | PARBATI COMPLEX, PACHUBABUR BAZAR | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||