Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03439 | Date 19/11/2019 |
| Token No | SM/18-19/7541 19/11/2019 | Serial | 038 |
| Patient Name | Mrs. RATNA BHATTCHARYA | Contact No | NOT GIVEN |
| Address | 3 DEY GHAT LANE | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||