Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03499 | Date 29/11/2019 |
| Token No | SM/19-20/7755 29/11/2019 | Serial | 018 |
| Patient Name | Mrs. SONALI GHOSAL | Contact No | 8017481645 |
| Address | 10C/1 BROJO DUTTA LANE | Age | 43 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||