Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03507 | Date 29/11/2019 |
| Token No | SM/19-20/7767 29/11/2019 | Serial | 030 |
| Patient Name | Mrs. KANTI KUMARI | Contact No | 8013687226 |
| Address | 79 DEY STREET | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||