Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 03487 | Date 28/11/2019 |
| Token No | SM/19-20/7706 28/11/2019 | Serial | 008 |
| Patient Name | Mrs. MITHU DEBNATH | Contact No | 6291289818 |
| Address | 311 MAHESH COLONY | Age | 36 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||