Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 00268 | Date 11/08/2018 |
| Token No | SM/18-19/7662 22/11/2019 | Serial | 021 |
| Patient Name | Mrs. CHANDRABATI DEBI | Contact No | 9875693240 |
| Address | R,B SARANI | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||